Bubbly consolidation caused by pulmonary embolism

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Dyspnea.

Patient Data

Age: 45 years
Gender: Male

Acute pulmonary emboli involving bilateral lower lobar pulmonary arteries extending to segmental branches (more prominent on the right side).

No filling defect in the pulmonary trunk and main pulmonary arteries.

Right mild pleural effusion with underlying atelectatic changes.

Peripheral wedge-shaped, non-enhancing babbly consolidation in right lung lower lobe.

Few tiny nonspecific nodules in the left lung.

Case Discussion

Bubbly consolidation is characterized by internal/central lucencies in a consolidation which represents aerated lung lobule within the infarcted or consolidated lung parenchyma.

Pulmonary embolism is a known cause of bubbly consolidation.

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