Clinical Practice and Cases in Emergency Medicine (May 2021)

Hemithorax Westermark Sign Secondary to Complete Pulmonary Artery Occlusion from Pulmonary Embolus

  • Michael Louthan,
  • Daniel Ng

DOI
https://doi.org/10.5811/cpcem.2021.2.51043
Journal volume & issue
Vol. 5, no. 2

Abstract

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Case Presentation: We describe a complete right hemithorax Westermark sign found in a patient with a near-complete, right pulmonary artery trunk occlusion secondary to a pulmonary embolus. Discussion: We review the sensitivity and specificity of a Westermark sign in the identification of a pulmonary embolism, and how this aided us in managing our patient in the emergency department.