CT scan of the chest with intravenous contrast:

Findings:

There are multiple filling defects seen within the right distal main, right upper, middle lobe, and bilateral lower lobe segmental pulmonary arteries. Extensive emphysematous changes are noted bilaterally. There is a wedge-shaped area of parenchymal opacity in the right middle lobe, which may represent pulmonary infarct versus consolidation. The lungs demonstrate bibasilar dependent atelectasis. No evidence of pleural effusion or pneumothorax. No significant pericardial effusion is seen. The mediastinum demonstrates no evidence of mass or significant adenopathy. The aorta is unremarkable with no evidence of aneurysmal dilatation or dissection. Degenerative changes of the spine are noted. Left subclavian central venous catheter is noted with is its tip in the superior vena cava. The upper abdominal viscera are unremarkable to the extent visualized.

Impression:

Extensive bilateral pulmonary embolism as described.
Wedge-shaped area of opacity in the right middle lobe, which may represent pulmonary infarct versus consolidation. Recommend clinical correlation.
Other findings are as described above.

Results were called in to xxxxx, RN.
 

If a significant discrepancy is found between the preliminary and final interpretations of this study, please fax back this form to 1-877-286-1225 with a copy of the official report so that appropriate action may be taken.

CONFIDENTIALITY STATEMENT This transmission is confidential and is intended to be a privileged communication. It is intended only for the use of the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, distribution or any action taken, or omitted to be taken in reliance on it is prohibited and may be unlawful. If you received this communication in error, please notify us so that return of this document to us can be arranged.