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Chronic Pulmonary Embolism and Decortication

Imaging findings

A patient presented with a large, loculated pleural effusion and complete occlusion of the right pulmonary artery due to chronic clot, appearing tubular and calcified.

Key takeaways

Surgical management for chronic thromboembolic disease may require both endarterectomy and concurrent decortication of the thickened pleura.

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