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There is complete occlusion of the proximal right pulmonary artery with soft tissue density thrombus that extends to the ascending and descending branches. On the left side, the descending branch of left pulmonary artery shows two aneurysmal dilatation surrounded by soft tissue density ? inflammatory tissue versus leakage. Lung window images reveal multiple variable size lung nodules with typical feeding vessel sign as well as air filled cavitary lesions mostly small abscesses.