CTICasesBehcet Syndrome with Right Ventricular Thrombus and Pulmonary Infarction
Imaging findings
Chest imaging shows thrombus within the right ventricle along with pulmonary embolism in the right lower lobe, a focal opacity consistent with pulmonary hemorrhage or hemorrhagic infarction, and a further area of involvement in the right upper lobe.
Key takeaways
The clinical context of oral and genital ulcerations together with right ventricular thrombosis on cardiac ultrasound supports a diagnosis of Behcet syndrome, in which right heart and pulmonary artery thrombosis and thromboembolism are well-described vascular manifestations, though this particular patient did not have the pulmonary artery aneurysms also classically associated with the syndrome.
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