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A 37-year-old female asked:
Dr order pulm. ventilation/perfusion scan for tachardyia and sob. have normal chest x-ray, ekg, pulmonary test and blood work. odds it's an embolism?
2 doctor answers • 5 doctors weighed in

Dr. Anthony Fillyanswered
Radiology 28 years experience
See below: Prob not a pulmonary embolism but certainly good thing to rule out. I prefer ct pulmonary angiogram to vent perfusion but it should be adequate.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago

Dr. Edward Druyanswered
Radiology 55 years experience
Odds don't count: Stastitics are only guidelines and don't apply to individual cases. A lung scan (v/q) is accurate if it is considered high probability or normal. The " gold standard" is computerized angiogram of the chest which is very accurate both to diagnose or exclude pulmonary embolism. Talk to your md. If you have no medical contraindications, i would prefer the ct angiogram.
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
Last updated Jan 13, 2015
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