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The scan is of suboptimal diagnostic quality and is limited by the patient's body habitus.
Occlusive filling defects are identified on the low monoE recons in multiple segmental right lower lobe pulmonary arteries. No signs of right ventricular strain. RV/LV ratio is 0.8 (normal is <1.0). No dilation of the main pulmonary artery. The heart and mediastinal structures are normal.
Reduced lung volumes with mild dependent atelectasis. No pleural effusion or pneumothorax.
The partially imaged spleen appears enlarged, measuring 166 mm in AP length. No mass in the lower neck. Bones and soft tissues are normal.
IMPRESSION
Segmental pulmonary emboli within the right lower lobe. No evidence of right heart strain.