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This report aims to highlight the diagnosis of cerebral fat embolism syndrome (CFES) with early pulmonary findings in a trauma patient.

954: Cerebral Fat Embolism Syndrome With Early Pulmonary Findings on Computed Tomography: A Case Report

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This report aims to highlight the diagnosis of cerebral fat embolism syndrome (CFES) with early pulmonary findings in a trauma patient.
Case report of a 63-year-old woman with bilateral tibial and unilateral fibular fractures after being struck by a vehicle.
Pulmonary CT angiogram evaluated for suspected pulmonary thromboembolism post-surgery.
Imaging studies including non-contrast CT head and magnetic resonance imaging were performed to assess neurological symptoms.
The patient's pulmonary CT angiogram showed possible signs of fat embolism, initially misdiagnosed as pulmonary thromboembolism.
Neurological decline prompted further imaging, revealing a 'starfield' pattern characteristic of CFES.
Intravenous heparin treatment was halted upon the correct diagnosis, leading to symptom improvement and discharge 13 days post-injury.

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A case report describes early pulmonary involvement in cerebral fat embolism syndrome, suggesting early CT evaluation benefits diagnosis.

Papadakos et al. (2026) studied this question.

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