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Procedures: Fellow Case Report Poster - Procedures |

Multiple Bilateral Lobar Pulmonary Emboli Diagnosed With Endobronchial Ultrasound in an Asymptomatic Patient

Deepankar Sharma, MD; Alexis Smith, DO; Christina Bellinger, MD
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Wake Forest University School of Medicine, Winston Salem, NC


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):988A. doi:10.1016/j.chest.2016.08.1094
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SESSION TITLE: Fellow Case Report Poster - Procedures

SESSION TYPE: Affiliate Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Endobronchial ultrasound (EBUS) allows real-time visualization of structures adjacent to the airways during bronchoscopy. EBUS is the recommended initial modality for mediastinal staging in lung cancer1 and plays an important role in patients with sarcoidosis, tuberculosis and lymphoma2. So far, there is insufficient data to evaluate the role of EBUS in diagnosis of pulmonary embolus. There are 6 case reports describing diagnosis of central PE, and a pilot study comparing EBUS to CT-angiography which demonstrated 96% accuracy but the bronchoscopists knew the diagnosis and location of the PE prior to EBUS3. We describe a case report of multiple acute bilateral lobar PE diagnosed with EBUS in an asymptomatic patient.

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