Postoperative complications of concomitant fat embolism syndrome, pulmonary embolism and tympanic membrane perforation after tibiofibular fracture: A case report

Figure 1 Patient’s imaging data. A: Anteroposterior radiograph of the fracture of the right tibia and fibula; B: Anteroposterior radiograph of the chest after admission; C: Anteroposterior radiograph of the right tibia and fibula 3 mo after surgery; D: Computed tomography scan of the brain demonstrated no pathological changes; E: Bedside chest radiography with diffuse interstitial opacities 30 h after surgery; F: Computed tomography angiography of the chest demonstrated diffuse superimposed ground-glass abnormalities in both lungs as well as numerous discrete small nodules, which were consistent with fat embolism syndrome; G: Computed tomography angiography of the chest demonstrated a limited mural thrombus at the right distal pulmonary artery (orange arrow); H: Otoscopic examination demonstrated that the left tympanic membrane had a small circular perforation; I and J: Repeat chest computed tomography demonstrated remarkable absorption of the diffuse ground-glass opacities and mural thrombus 10 d after the operation.