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Hampton humps and pulmonary emboli

Uploaded on by Mike Cadogan
45 year old lady with acute shortness of breath. Hypoxic, hypotensive and tachypnoeic.
CXR confirms presence of hampton humps on the right hand side 
CT scan confirms a large pulmonary embolism at the bifurcation of the right pulmonary artery with thrombus extending into both divisions and areas of wedge infarctions.
  • Pulmonary embolism: often you see nothing, but pleural effusions, lower lung atelactasis, point to this and a Hampton Hump (looks like a pulmonary infarct with a convex medial border and a Westermark sign pulmonary oligema) are rarely there but if they are, they have a 11% sensitivity and 92% specificity
Hampton humps and pulmonary emboli

Other Media in this Clinical Scenario (Slideshow)

  1. Hampton humps and pulmonary emboli image
    Hampton humps and pulmonary emboli
  2. Hampton humps and pulmonary emboli image
    Hampton humps and pulmonary emboli
  3. Hampton humps and pulmonary emboli image
    Hampton humps and pulmonary emboli
  4. Hampton humps and pulmonary emboli image
    Hampton humps and pulmonary emboli
  5. Hampton humps and pulmonary emboli image
    Hampton humps and pulmonary emboli
  6. Hampton humps and pulmonary emboli image
    Hampton humps and pulmonary emboli
  7. Hampton humps and pulmonary emboli image
    Hampton humps and pulmonary emboli