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This case aims to illustrate the diagnostic utility of endobronchial ultrasound in identifying thrombus in pulmonary embolism with infarction.

D24-01 From Tumor to Thrombus: Endobronchial Ultrasound Unravels an Endovascular Clot

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This case aims to illustrate the diagnostic utility of endobronchial ultrasound in identifying thrombus in pulmonary embolism with infarction.
Patient underwent bronchoscopy with bronchoalveolar lavage, bronchial brushing, and endobronchial ultrasound (EBUS) with transbronchial needle aspiration.
Doppler ultrasound confirmed the presence of an endovascular mass in the right pulmonary artery influenced by pulmonary embolism.
Follow-up imaging included chest CT and PET-CT to assess for malignancy and monitor for consolidation resolution.
Endobronchial ultrasound identified a thrombus in the pulmonary artery, leading to effective management with apixaban.
Follow-up CT at 3 months showed complete resolution of consolidation in the right lower lobe.
Hypercoagulability workup revealed positive homozygous prothrombin G20210A.

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Randomized trial reports thrombus identification in pulmonary embolism using endobronchial ultrasound, suggesting critical diagnostic benefits.

Siew et al. (2026) studied this question.

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Randomized trial reports thrombus identification in pulmonary embolism using endobronchial ultrasound, suggesting critical diagnostic benefits.