Clinical introduction A 40-year-old man presented with a 1-month history of night sweats, haemoptysis, dyspnoea and weight loss. He had never smoked. Physical examination was unremarkable. He was haemodynamically stable. He was anaemic with a haemoglobin of 10 g/L and his D-dimer was elevated at 1.32 µg/mL.
A 12 lead ECG showed sinus rhythm with no abnormalities. A chest radiograph (CXR) was performed (figure 1A). Transthoracic echocardiography revealed normal right ventricular size and systolic function with a step-up, distally, in pulmonary arterial (PA) velocity from 0.7 m/s to 3.2 m/s.
Question What is the likely diagnosis?
Right upper lobe bronchopneumonia.
Submassive pulmonary embolism.
Right upper lobe squamous cell carcinoma.
Primary pulmonary artery angiosarcoma.
Giant cell pulmonary arteritis.
- positron emission tomographic (pet) imaging
- endovascular procedures for aortic and vascular disease
- secondary pulmonary hypertension
- palliative care
- cardiac catheterization and angiography
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.