Diagnosis of macroscopic pulmonary fat embolism with computerised tomography pulmonary angiogram

Fat embolism syndrome (FES) is a rare complication of trauma and orthopaedic procedures involving long bones. Radiographically, the condition typically presents with patchy ground-glass opacities and small centrilobular nodules. The presence of macroscopic fat emboli is a rare finding. We present an atypical case of macroscopic fat emboli in clinical fat embolism syndrome in the absence of ground glass opacification, highlighting the variability in radiographic presentations of this syndrome.