Hypoxia in a 50 year old female

This patient arrives with hypoxia despite supplemental oxygen and this radiograph.  Why do you think the film is abnormal and what is the diagnosis?

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2 Responses to Hypoxia in a 50 year old female

  1. Gough says:

    Shattered IVC filter, wire, or vascular stent embolized to the lung.

    Rich Duff and Laurie Lerner had nothing to do with this answer

  2. mk says:

    This patient had HHT (Hereditary Hemorrhagic Telangectasias) and had multiple coils placed. Despite this, she continued with severe hypoxia requiring 6 liters NP with a chronic saturation of 70’s. she underwnt double lung transplant in May, 2008

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