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Role of a Quantitative D-Dimer Assay in Determining the Need for CT Angiography of Acute Pulmonary Embolism

Peter W. Abcarian1, Jason D. Sweet, John T. Watabe and Hyo-Chun Yoon

1 All authors: Department of Diagnostic Imaging, Kaiser Foundation Hospital, 3288 Moanalua Rd., Honolulu, HI 96814.



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  		Fig. 1A. —Positive, negative, and indeterminate pulmonary CT angiograms. Pulmonary angiogram of 56-year-old man shows filling defect and surrounding contrast material at segmental branching of right lower lobe pulmonary artery. Thrombus is also present in medial right middle lobe segmental pulmonary artery.

 


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  		Fig. 1B. —Positive, negative, and indeterminate pulmonary CT angiograms. Negative pulmonary CT angiogram of 60-year-old woman shows complete bilateral opacification of all visualized pulmonary artery branches.

 


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  		Fig. 1C. —Positive, negative, and indeterminate pulmonary CT angiograms. Indeterminate pulmonary CT angiogram of 51-year-old man shows poor bilateral opacification of segmental pulmonary arteries that prevents detection of intraluminal filling defects.

 

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