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Pulmonary Embolism

Imaging findings

Subtle distension of the infra-hilar/interlobar pulmonary artery observed on a follow-up chest radiograph compared to a remote prior. CT confirmed a substantial PE in the distal right intra-pericardial pulmonary artery.

Key takeaways

Radiographic signs of PE are notoriously subtle and often not recognizable prospectively; however, when clinical suspicion is high, vessels should be scrutinized carefully.

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