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There are large filling defects, likely acute thromboemboli, lodged in the bilateral main pulmonary arteries extending to the distal branches.
The right ventricle is prominent with flattening to slight bowing of the interventricular septum towards the left reflective of right heart strain. Reflux of contrast into the inferior vena cava is also observed.
Small wedge-shaped opacity, probably an infarct, is demonstrated in the right lung.