title: Prognosis in a patient with an initial normal pulmonary angiogram.
abstract: A 58-year-old man with pleuritic chest pain and an indeterminate lung scan had normal results of Duplex ultrasound studies of the lower limbs and a normal pulmonary angiogram. Recurrent symptoms led to repeated pulmonary angiography and a diagnosis of pulmonary embolism. This case emphasizes the possibility of missing an initial, or developing a subsequent, pulmonary embolism despite a normal angiogram and reinforces the need for serial studies if a noninvasive strategy for the diagnosis of pulmonary embolism is to be employed.
authors.affiliation: Department of Medicine, Mount Sinai Hospital, Toronto, Canada.
authors.forename: V
authors.initials: V
authors.lastname: Bertucci
authors.forename: M R
authors.initials: MR
authors.lastname: Asch
authors.forename: M S
authors.initials: MS
authors.lastname: Balter
mesh_terms: D005188:False Negative Reactions; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011651:Pulmonary Artery / Q000000981:diagnostic imaging*; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging*; D011859:Radiography