A 50 y.o. patient c/o pleuritic chest pain. NO fever. 140/90 HR 115 RR 28 aferbile sat 97% RA with clear breath sounds.
Figure 1 - ECG
The ECG shows sinus tachycardia and S1Q3T3 pattern (S wave in lead I and Q wave and T wave inversion in lead III).
CBC/lytes/BUN/Crea normal limits, D-dimer 3000, trop 0.06. ECG taken and chest CT angiography (CTA) revealed extensive bilateral PE.
Figure 2 - CTA
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