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Large saddle emboli extending into the lobar pulmonary arteries bilaterally. Right heart strain is present, with enlargement of the RV and bulging of the interventricular septum.
ETT tip is above the carina. Minor left lingula atelectasis. No pleural or pericardial effusion. Enlarged mediastinal lymph node measures 12 mm in the short axis, at the aortopulmonary window. Imaged upper abdominal organs are unremarkable. No suspicious osseous lesion.