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Clinicians' Response to Radiologists' Reports of Isolated Subsegmental Pulmonary Embolism or Inconclusive Interpretation of Pulmonary Embolism Using MDCT

Benjamin A. Eyer1, Lawrence R. Goodman and Lacey Washington

1 All authors: Department of Radiology, Medical College of Wisconsin and Froedtert Memorial Lutheran Hospital, 9200 W Wisconsin Ave., Milwaukee, WI 53226-3596.



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  		Fig. 1. —Isolated subsegmental pulmonary embolism (ISSPE). MDCT scan of 59-year-old man shows ISSPE (arrow) in posterior basal segment of right lower lobe. No deep venous thrombosis was seen, and patient did not receive anticoagulation. No clinical evidence of venous thromboembolism was seen at 3-month follow-up.

 


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  		Fig. 2. —Suboptimal MDCT scan for pulmonary embolism. Noisy image in 41-year-old heavyset woman shows that small emboli could not be excluded at lung bases. Of particular concern, perceived filling defect in left posterior basal segment (arrow) was not confirmed on other sections above or below. Results of clinical follow-up at 3 months were negative.

 

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