50 yo F with acute dyspnea following hip surgery

Case and content by Shannon McConnaughey, MD
Edited by Brandon Fainstad, MD


CASE

A 50 year old woman with a history of post-operative deep vein thrombosis presents with acute onset hypoxemia with a dry cough 5 days after a revision of her R total hip.  Only new medications is prophylactic heparin.  Has not received peri-operative transfusions.

CXR

CT PE

TTE


What is your differential based on these findings? 


DIAGNOSIS AND TAKE HOME POINTS