Abstract

ABSTRACT:
OBJECTIVES:
To show the role of enhanced spiral computed tomography in clinically suspected acute pulmonary
embolism(PE) patients .
PATIENTS AND METHODS:
From October 2003 to October 2004, Fourty two patients with clinically suspected acute pulmonary
embolism ,were examined by thin slices contrast enhanced spiral computed tomography as the primary
diagnostic test to role out or confirm the diagnosis of pulmonary embolism. Patients were examined in
the Radiology Departments of (Al-Kadymia, Al-Yarmook & Ibn Al-Bittar Teaching Hospitals).
RESULTS:
Pulmonary embolism diagnosed in 43% of the patients by showing clot within pulmonary arteries with
or without non specific signs like effusion , wedge infarct & dilated pulmonary artery .CT was normal
or gave an alternative diagnosis that could explain the patient’s signs & symptoms in 52%.
Inconclusive findings were seen in 5%.
CONCLUSION:
Computed tomography can be used safely as the primary diagnostic tool in clinically suspected acute
pulmonary embolism patients, to confirm or role out the diagnosis.