SHM Converge Scientific Abstract ePoster Gallery-Hampton's Hump: A Unique Radiographic Finding in Pulmonary Infarction

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This case describes a 61-year-old woman with heart failure, hypertension, asthma, and prior stroke who presented with progressive shortness of breath, right-sided chest pain, and worsening bilateral leg edema. She was hemodynamically stable on arrival, with normal oxygen saturation and no acute ECG changes.  <br /><br />A chest x-ray showed a right lung opacity consistent with Hampton’s hump, a classic radiographic sign that can suggest pulmonary embolism. Because of this finding and her symptoms, a chest CT was obtained and confirmed an acute pulmonary embolism involving the right upper and middle lobes, along with a right middle lobe pulmonary infarction.  <br /><br />Echocardiography showed no right ventricular dysfunction or signs of right-sided heart strain. As a result, she was not considered a candidate for thrombolytic therapy or embolectomy. She was treated with anticoagulation and discharged home after a short hospital stay.  <br /><br />Overall, the case highlights Hampton’s hump as an important but uncommon chest x-ray clue that can help prompt further imaging and timely diagnosis of pulmonary embolism.

Asset Subtitle

Diane S. Casini

Meta Tag

Author List Annika Kisha, Daniel Boyes, Diane S. Casini, James Lamb

Category Clinical Vignettes

Concept Hamptons hump

Concept Pulmonary Embolism

Concept Anticoagulation

Concept Chest X-ray

Concept Pulmonary infarction

Distinguished Non-Finalist

Presenter Organization Wright State University

Presenting Author Diane S. Casini

Track Adult

Keywords

pulmonary embolism

Hampton's hump

chest x-ray

pulmonary infarction

anticoagulation

shortness of breath

right-sided chest pain

heart failure

echocardiography

computed tomography

Hamptons hump

Pulmonary Embolism

Anticoagulation

Chest X-ray

Pulmonary infarction