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Multidetector CT angiography is now the reference standard for the diagnosis of acute pulmonary embolism (PE).1 However, recognising the radiographic changes associated with PE remains important, as the imaging available early in the diagnostic process is still likely to be a plain film radiograph of the chest. We describe a case in which one of the radiographic signs of PE prompted a CT angiogram even though PE was not initially considered a strong differential consideration.
A patient presented to the emergency room with a 4-day history of right-sided pleuritic chest pain and shortness …
Contributors All authors contributed equally to the planning, conduct, and reporting of the work described in the article. MDC is responsible for the overall content as guarantor.
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.