ABSTRACT
Examination The electrocardiogram (ECG) shows evidence of left ventricular hypertrophy. Troponin was not raised. D-dimer was moderately elevated. A chest radiograph was performed (Figure 50.1). The accident and emergency team were concerned about the possibility of a pulmonary embolism and therefore a computed tomography pulmonary angiogram (CTPA) was performed (one axial slice is shown in Figure 50.2). No pulmonary embolism or focal lung parenchymal abnormality was seen.
