Triple Rule-Out ™

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Pulmonary Embolism Study	Coronary Artery Study	Lung Aorta Study

Clinical Background

• 72-year-old male patient who underwent a 5-bypass surgery 30 days ago.

• Phlebitis symptoms during post-surgery rehabilitation and pulmonary scientigraphy showed signs of moderated bilateral pulmonary embolism.

• Cardiac CT required in order to check this suspicion.

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Thrombus in the left inferior and superior lobes and in the right inferior lobe

Diagnosis
Pulmonary Embolism Study

• Thrombus in the left inferior and superior lobes and in the right inferior lobe.

• No thrombus in the pulmonary trunk and in the right and lesfr branches of the pulmonary arteries. No noticeable thrombus in the left ventricle and superior vena cava.

• Coronary Study: The bypass grafts are patent.

• Lung Study: No pericardial and pleural effusion but breathing disorder.

Scan Technique

• Detector Configuration: 64 x 0.625 mm at 40 mm coverage per rotation

• Total Scan Time: 7.7 sec

• Rotation Speed: 0.35 sec

• Pitch: 0.26:1

• Scan Coverage: 238 mm

• Contrast: 80 cc @ 5 cc/sec iodine contrast media, 40 cc @ 3 cc/s flush

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