CTICasesClot in Transit through a Patent Foramen Ovale (PFO)
Imaging findings
Massive bilateral pulmonary emboli with visible clot in transit crossing the interatrial septum via a PFO towards the left atrium.
Key takeaways
In the setting of massive PE and elevated right-sided pressures, always evaluate for a PFO to identify potential sources of paradoxical systemic embolization.
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