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Incidental Pulmonary Embolism on Coronary CTA

Imaging findings

Coronary CTA was initially read as normal for coronary disease. Reviewing the full field of view, an acute pulmonary embolus was identified in the right lower lung, just outside the limited cardiac field of view.

Key takeaways

Always review the full field of view on coronary CTA exams, not just the dedicated cardiac portion, to identify incidental but critical findings like pulmonary embolism, especially in patients presenting with chest pain.

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