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There are extensive multiple filling defects within segmental pulmonary arterial branches of all lobes of the lung. The main, left, and right pulmonary arteries appear enlarged. Furthermore, there is contrast reflux back into the hepatic veins as well as reflux of contrast into collateral veins around the scapula.
No enlarged hilar, mediastinal or axillary lymphadenopathy. Cardiomegaly. No pericardial effusion.
Retrosternal goitre with multiple hypodensities predominantly within the left lobe of the thyroid, one of which demonstrates peripheral coarse calcification.
Conclusion: Extensive bilateral pulmonary emboli with secondary signs of acute right heart strain.