Case of the Month July 2014

Submitted by Garrett Dejesus, MD, and Thomas J. Learch, MD .

This patient presented to the emergency room with shortness of breath for 2 days and hypotension (blood pressure 90/60).  She has a history of primary lung cancer (adenocarcinoma).  What is the most concerning finding on the images below?

For a larger image, please click on lung cancer 1 and Lung Cancer 2

A) Recurrence of primary lung cancer
B) Descending aortic atherosclerotic disease
C) Bilateral pulmonary artery emboli
D) Bronchopneumonia
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