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Chest, Vol 105, 1257-1258, Copyright © 1994 by American College of Chest Physicians

ARTICLES

Prognosis in a patient with an initial normal pulmonary angiogram

V Bertucci, MR Asch and MS Balter
Department of Medicine, Mount Sinai Hospital, Toronto, Canada.

A 58-year-old man with pleuritic chest pain and an indeterminate lung scan had normal results of Duplex ultrasound studies of the lower limbs and a normal pulmonary angiogram. Recurrent symptoms led to repeated pulmonary angiography and a diagnosis of pulmonary embolism. This case emphasizes the possibility of missing an initial, or developing a subsequent, pulmonary embolism despite a normal angiogram and reinforces the need for serial studies if a noninvasive strategy for the diagnosis of pulmonary embolism is to be employed.




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Copyright © 1994 by the American College of Chest Physicians.