Demographics:
11 years old, Male
Indication:
Chest pain, femur fracture 24 hours prior
Findings
Chest radiograph
- No confluent airspace opacification
CT
Chest
- Widespread bilateral groundglass opacities with intermixed areas of nodular consolidation in a somewhat dependent distribution
- Mild scattered interlobular septal thickening
Upper abdomen
- No acute findings
MSK
- No acute findings
Diagnosis
Pulmonary fat embolism
Sample Report
Findings are most concerning for pulmonary fat embolism given the recent femur fracture. Less likely differential considerations include atypical infection, aspiration, and pulmonary edema.
Discussion