Pulmonary ischemia and pulmonary infarction in non-contrast and non-vascular chest CT:

The bubbly lung sign

Hannes Kroll, M.D.

Patrick Norton, M.D.

Michael Hanley, M.D.

Juliana Bueno, M.D.

Department of Radiology and Medical Imaging

University of Virginia

Charlottesville, VA

<div class="sg" id="s14" data-sgid="Rectangle 4" style="z-index:5;left:234.60px;top:53.48px;width:245.53px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s14_t" class="sg" style="z-index:2;left:-28.43px;top:-2.50px;width:299.51px;height:98.92px;"><div><p para="{al:2}"><span data-textwidth="240.28" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.35px;top:19.39px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Objectives </span></span></p></div></div></div> <div class="sg" id="s13" data-sgid="Rectangle 2" style="z-index:4;left:23.51px;top:167.40px;width:654.52px;height:111.77px" data-valign="top" data-pointer-events="none"> <div id="s13_t" class="sg" style="z-index:2;left:-9.94px;top:-2.15px;width:672.51px;height:124.11px;"><div><p para="{al:4,bl:{nbr:1,val:1,st:3}}"><span data-textwidth="639.46" class="sg nowrap f1" style="z-index:2;color:#E46C0A;font-size:133%; left:17.64px;top:11.03px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">1.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.48px">&nbsp;</span>Recognize</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.36px">&nbsp;</span>the</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.36px">&nbsp;</span>typical</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.37px">&nbsp;</span>appearance</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.35px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.37px">&nbsp;</span>pulmonary</span></span></span><span data-textwidth="603.83" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-size:133%; left:53.64px;top:45.60px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">infarction in CT studies of the chest not intended for</span></span><span data-textwidth="342.78" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-size:133%; left:53.64px;top:80.16px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">pulmonary artery assessment.</span></span></p></div></div></div> <div class="sg" id="s12" data-sgid="Group 6" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s12_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s15" data-sgid="Rectangle 5" style="z-index:6;left:29.51px;top:335.29px;width:648.52px;height:146.67px" data-valign="top" data-pointer-events="none"> <div id="s15_t" class="sg" style="z-index:2;left:-9.97px;top:-2.16px;width:666.53px;height:158.67px;"><div><p para="{al:4,bl:{nbr:2,val:2,st:3}}"><span data-textwidth="633.46" class="sg nowrap f1" style="z-index:2;color:#E46C0A;font-size:133%; left:17.67px;top:11.19px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">2.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.48px">&nbsp;</span>Know</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.41px">&nbsp;</span>when</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.28px">&nbsp;</span>to</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.29px">&nbsp;</span>suspect</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.29px">&nbsp;</span>an</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.28px">&nbsp;</span>occult</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.40px">&nbsp;</span>pulmonary</span></span></span><span data-textwidth="597.46" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-size:133%; left:53.67px;top:45.75px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">embolism in non-contrast and non-CTPA studies, by</span></span><span data-textwidth="597.46" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-size:133%; left:53.67px;top:80.32px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">recognition of main imaging characteristics of lung</span></span><span data-textwidth="229.96" class="sg nowrap f1" style="z-index:28;color:#FFFFFF;font-size:133%; left:53.67px;top:114.89px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">ischemia/infarction.</span></span></p></div></div></div> <div class="sg" id="s18" data-sgid="Rectangle 4" style="z-index:5;left:233.41px;top:53.48px;width:276.12px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s18_t" class="sg" style="z-index:2;left:-22.31px;top:-2.50px;width:317.61px;height:98.92px;"><div><p para="{al:2}"><span data-textwidth="258.40" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.34px;top:19.39px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Introduction</span></span></p></div></div></div> <div class="sg" id="s17" data-sgid="Rectangle 2" style="z-index:4;left:35.51px;top:167.40px;width:648.52px;height:42.10px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s16" data-sgid="Group 6" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s16_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s19" data-sgid="Rectangle 5" style="z-index:6;left:47.49px;top:191.40px;width:630.54px;height:251.12px" data-valign="top" data-pointer-events="none"> <div id="s19_t" class="sg" style="z-index:2;left:-11.64px;top:-3.12px;width:652.74px;height:265.39px;"><div><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="615.46" class="sg nowrap f3" style="z-index:2;color:#E46C0A;font-size:156%; left:19.36px;top:14.52px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.49px">&nbsp;</span>Pulmonary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.04px">&nbsp;</span>embolism</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.05px">&nbsp;</span>(PE)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.04px">&nbsp;</span>is</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.04px">&nbsp;</span>a</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.93px">&nbsp;</span>common</span></span></span><span data-textwidth="579.45" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-size:156%; left:55.37px;top:53.57px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">clinical<span style="letter-spacing:20.72px">&nbsp;</span>problem</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.84px">&nbsp;</span>with</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.84px">&nbsp;</span>associated</span><span class="f4" style="font-weight:bold; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.85px">&nbsp;</span>high</span></span></span><span data-textwidth="335.09" class="sg nowrap f4" style="z-index:14;color:#FFFFFF;font-weight:bold; font-size:156%; left:55.37px;top:93.54px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">morbidity</span><span class="f1" style="font-weight:normal; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> and</span></span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> mortality</span><span class="f1" style="font-weight:normal; font-size:68%; position:relative;bottom:9px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">1</span></span><span class="f1" style="font-weight:normal; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">.</span></span></span></p><p para="{al:4,bl:{ch:8226}}"></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="615.47" class="sg nowrap f3" style="z-index:19;color:#E46C0A;font-size:156%; left:19.36px;top:175.84px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.49px">&nbsp;</span>Prompt</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.43px">&nbsp;</span>diagnosis</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.45px">&nbsp;</span>is</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.44px">&nbsp;</span>essential</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.45px">&nbsp;</span>for</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.84px">&nbsp;</span>patient</span></span></span><span data-textwidth="404.34" class="sg nowrap f1" style="z-index:26;color:#FFFFFF;font-size:156%; left:55.37px;top:214.89px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">management and outcome</span><span class="f1" style="font-size:68%; position:relative;bottom:9px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">2</span></span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">.</span></span></p></div></div></div> <div class="sg" id="s22" data-sgid="Rectangle 4" style="z-index:5;left:233.41px;top:53.48px;width:276.12px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s22_t" class="sg" style="z-index:2;left:-22.31px;top:-2.50px;width:317.61px;height:98.92px;"><div><p para="{al:2}"><span data-textwidth="258.40" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.34px;top:19.39px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Introduction</span></span></p></div></div></div> <div class="sg" id="s21" data-sgid="Rectangle 2" style="z-index:4;left:35.51px;top:167.40px;width:648.52px;height:42.10px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s20" data-sgid="Group 6" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s20_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s23" data-sgid="Rectangle 5" style="z-index:6;left:47.49px;top:173.42px;width:618.56px;height:226.89px" data-valign="top" data-pointer-events="none"> <div id="s23_t" class="sg" style="z-index:2;left:-11.64px;top:-0.60px;width:640.73px;height:238.52px;"><div><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="603.46" class="sg nowrap f3" style="z-index:2;color:#E46C0A;font-size:156%; left:19.36px;top:14.50px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.49px">&nbsp;</span>Computed</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:44.96px">&nbsp;</span>Tomography</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:44.97px">&nbsp;</span>Pulmonary</span></span></span><span data-textwidth="567.45" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-size:156%; left:55.37px;top:56.91px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Angiography<span style="letter-spacing:9.80px">&nbsp;</span>(</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">CTPA)<span style="letter-spacing:9.93px">&nbsp;</span>has</span><span class="f4" style="font-weight:bold; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.92px">&nbsp;</span>high</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.80px">&nbsp;</span>sensitivity</span></span></span><span data-textwidth="567.45" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-size:156%; left:55.37px;top:100.60px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">and</span><span class="f4" style="font-weight:bold; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.20px">&nbsp;</span>specificity</span></span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.32px">&nbsp;</span>in</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.33px">&nbsp;</span>direct</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.20px">&nbsp;</span>imaging</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.33px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.32px">&nbsp;</span>the</span></span><span data-textwidth="567.45" class="sg nowrap f1" style="z-index:20;color:#FFFFFF;font-size:156%; left:55.37px;top:144.29px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">pulmonary<span style="letter-spacing:13.04px">&nbsp;</span>emboli</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.16px">&nbsp;</span>and</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.04px">&nbsp;</span>is</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.17px">&nbsp;</span>currently</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.16px">&nbsp;</span>the</span></span><span data-textwidth="357.89" class="sg nowrap f4" style="z-index:26;color:#FFFFFF;font-weight:bold; font-size:156%; left:55.37px;top:187.62px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">diagnostic gold standard</span><span class="f1" style="font-weight:normal; font-size:68%; position:relative;bottom:9px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">3</span></span><span class="f1" style="font-weight:normal; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">.</span></span></span></p></div></div></div> <div class="sg" id="s26" data-sgid="Rectangle 4" style="z-index:5;left:233.41px;top:53.48px;width:276.12px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s26_t" class="sg" style="z-index:2;left:-22.31px;top:-2.50px;width:317.61px;height:98.92px;"><div><p para="{al:2}"><span data-textwidth="258.40" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.34px;top:19.39px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Introduction</span></span></p></div></div></div> <div class="sg" id="s25" data-sgid="Rectangle 2" style="z-index:4;left:35.51px;top:167.40px;width:648.52px;height:42.10px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s24" data-sgid="Group 6" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s24_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s27" data-sgid="Rectangle 5" style="z-index:6;left:47.49px;top:143.43px;width:618.56px;height:359.04px" data-valign="top" data-pointer-events="none"> <div id="s27_t" class="sg" style="z-index:2;left:-11.64px;top:-0.59px;width:640.73px;height:369.48px;"><div><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="603.45" class="sg nowrap f3" style="z-index:2;color:#E46C0A;font-size:156%; left:19.36px;top:14.47px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:25.05px">&nbsp;</span>Oftentimes,</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.15px">&nbsp;</span>PE</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.16px">&nbsp;</span>is</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.16px">&nbsp;</span>not</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.16px">&nbsp;</span>clinically</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.16px">&nbsp;</span>suspected,</span></span></span><span data-textwidth="562.89" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-size:156%; left:59.93px;top:56.88px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">and<span style="letter-spacing:13.88px">&nbsp;</span>non</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">-contrast<span style="letter-spacing:14.00px">&nbsp;</span>CT</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.00px">&nbsp;</span>chest</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.01px">&nbsp;</span>imaging</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.00px">&nbsp;</span>is</span></span><span data-textwidth="409.98" class="sg nowrap f1" style="z-index:17;color:#FFFFFF;font-size:156%; left:59.93px;top:100.57px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">obtained for</span><span class="f4" style="font-weight:bold; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> other indications.</span></span></span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="603.46" class="sg nowrap f3" style="z-index:22;color:#E46C0A;font-size:156%; left:19.36px;top:143.90px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:25.05px">&nbsp;</span>In</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> these cases,</span></span><span class="f4" style="font-weight:bold; color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> indirect signs</span></span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> can be used</span></span></span><span data-textwidth="456.31" class="sg nowrap f1" style="z-index:31;color:#FFFFFF;font-size:156%; left:59.93px;top:187.95px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">for suspecting the diagnosis of PE.</span></span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="603.46" class="sg nowrap f3" style="z-index:38;color:#E46C0A;font-size:156%; left:19.36px;top:232.92px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:25.05px">&nbsp;</span>The</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.44px">&nbsp;</span>most</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.44px">&nbsp;</span>characteristic</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.32px">&nbsp;</span>indirect</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.32px">&nbsp;</span>sign</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.44px">&nbsp;</span>on</span></span></span><span data-textwidth="562.89" class="sg nowrap f1" style="z-index:45;color:#FFFFFF;font-size:156%; left:59.93px;top:275.33px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">non-contrast<span style="letter-spacing:13.52px">&nbsp;</span>CT</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.40px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.40px">&nbsp;</span>PE</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.40px">&nbsp;</span>is</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.41px">&nbsp;</span>a</span><span class="f4" style="font-weight:bold; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:13.41px">&nbsp;</span>pulmonary</span></span></span><span data-textwidth="121.57" class="sg nowrap f4" style="z-index:54;color:#FFFFFF;font-weight:bold; font-size:156%; left:59.93px;top:318.66px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">infarct</span><span class="f4" style="font-size:68%; position:relative;bottom:9px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">4-8</span></span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">.</span></span></p></div></div></div> <div class="sg" id="s30" data-sgid="Rectangle 4" style="z-index:5;left:166.01px;top:29.50px;width:410.66px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s30_t" class="sg" style="z-index:2;left:-21.61px;top:-2.52px;width:450.99px;height:98.95px;"><div><p para="{al:2}"><span data-textwidth="391.75" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.43px;top:19.39px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Pulmonary Infarcts</span></span></p></div></div></div> <div class="sg" id="s29" data-sgid="Rectangle 2" style="z-index:4;left:35.51px;top:167.40px;width:648.52px;height:42.10px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s28" data-sgid="Group 6" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s28_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s31" data-sgid="Rectangle 5" style="z-index:6;left:47.49px;top:119.43px;width:618.56px;height:390.72px" data-valign="top" data-pointer-events="none"> <div id="s31_t" class="sg" style="z-index:2;left:-9.12px;top:-2.15px;width:635.69px;height:392.88px;"><div><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="603.46" class="sg nowrap f3" style="z-index:2;color:#E46C0A;font-size:133%; left:16.84px;top:11.79px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:23.01px">&nbsp;</span>The</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.60px">&nbsp;</span>prevalence</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.48px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.49px">&nbsp;</span>pulmonary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.36px">&nbsp;</span>infarcts</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.37px">&nbsp;</span>in</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.49px">&nbsp;</span>PE</span></span></span><span data-textwidth="307.36" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-size:133%; left:52.85px;top:45.56px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">ranges from 25 – 62 %.</span><span class="f1" style="font-size:67%; position:relative;bottom:8px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.40px">&nbsp;</span>5</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">,9-10</span></span></span></p><p para="{al:4,bl:{ch:8226}}"><span data-textwidth="603.46" class="sg nowrap f3" style="z-index:22;color:#E46C0A;font-size:133%; left:16.84px;top:80.92px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:23.01px">&nbsp;</span>Certain</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:17.48px">&nbsp;</span>patient</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:17.61px">&nbsp;</span>populations</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:17.61px">&nbsp;</span>have</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:17.60px">&nbsp;</span>a</span></span><span class="f4" style="font-weight:bold; color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:17.49px">&nbsp;</span>higher</span></span></span><span data-textwidth="547.40" class="sg nowrap f4" style="z-index:29;color:#FFFFFF;font-weight:bold; font-size:133%; left:52.85px;top:115.09px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">propensity</span><span class="f1" style="font-weight:normal; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> to develop pulmonary infarcts.</span></span><span class="f1" style="font-weight:normal; font-size:67%; position:relative;bottom:8px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">11,12,13</span></span></span></p><p para="{bl:{ch:8226}}"><span data-textwidth="355.26" class="sg nowrap f3" style="z-index:40;color:#E46C0A;font-size:133%; left:16.84px;top:150.06px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:23.01px">&nbsp;</span>These include patients with:</span></span></span></p><p para="{al:4,in:2,bl:{ch:8226}}"><span data-textwidth="405.18" class="sg nowrap f3" style="z-index:42;color:#E46C0A;font-size:133%; left:52.85px;top:219.19px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:23.00px">&nbsp;</span>Pulmonary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> venous hypertension</span></span></span></p><p para="{al:4,in:2,bl:{ch:8226}}"><span data-textwidth="174.26" class="sg nowrap f3" style="z-index:46;color:#E46C0A;font-size:133%; left:52.85px;top:253.76px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:23.00px">&nbsp;</span>Malignancy</span></span></span></p><p para="{al:4,in:2,bl:{ch:8226}}"><span data-textwidth="177.38" class="sg nowrap f3" style="z-index:48;color:#E46C0A;font-size:133%; left:52.85px;top:288.33px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:23.00px">&nbsp;</span>Heart</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> failure</span></span></span></p><p para="{al:4,in:2,bl:{ch:8226}}"><span data-textwidth="213.99" class="sg nowrap f3" style="z-index:51;color:#E46C0A;font-size:133%; left:52.85px;top:322.90px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">•</span><span class="f1" style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:23.00px">&nbsp;</span>Vasodilator</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> use</span></span></span></p></div></div></div> <div class="sg" id="s38" data-sgid="TextBox 9" style="z-index:7;left:115.74px;top:17.50px;width:520.32px;height:51.69px" data-valign="top"> <div id="s38_t" class="sg" style="z-index:2;left:-18.24px;top:-8.39px;width:557.87px;height:81.45px;"><div><p><span data-textwidth="509.12" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:200%; left:26.00px;top:15.73px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Lung parenchymal perfusion </span></span></p></div></div></div> <div class="sg" id="s34" data-sgid="TextBox 3" style="z-index:3;left:125.46px;top:95.46px;width:234.74px;height:75.91px" data-valign="top"> <div id="s34_t" class="sg" style="z-index:2;left:0.00px;top:-5.53px;width:234.74px;height:93.90px;"><div><p para="{al:2}"><span data-textwidth="168.51" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:150%; left:33.21px;top:12.57px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Centrilobular</span></span><span data-textwidth="75.97" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-size:150%; left:79.53px;top:44.98px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">artery</span></span></p></div></div></div> <div class="sg" id="s36" data-sgid="Straight Arrow Connector 6" style="z-index:5;left:288.35px;top:158.41px;width:58.65px;height:70.16px" data-pointer-events="none"> <img class="sg" src="335A6697.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/335A6697.png" id="s36_i" style="z-index:1;left:0px;top:0px;width:58.65px;height:70.16px" > </div> <div class="sg" id="s43" data-sgid="TextBox 16" style="z-index:12;left:41.49px;top:185.39px;width:264.73px;height:75.91px" data-valign="top"> <div id="s43_t" class="sg" style="z-index:2;left:0.00px;top:-5.50px;width:267.00px;height:93.90px;"><div><p para="{al:2}"><span data-textwidth="226.72" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:150%; left:22.84px;top:12.63px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Bronchial arterial </span></span><span data-textwidth="123.38" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-size:150%; left:70.73px;top:45.04px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">branches</span></span></p></div></div></div> <div class="sg" id="s42" data-sgid="Freeform 12" style="z-index:11;left:379.74px;top:170.30px;width:171.87px;height:110.92px" data-pointer-events="none"> <img class="sg" src="E56D9DB1.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/E56D9DB1.png" id="s42_i" style="z-index:1;left:0px;top:0px;width:171.87px;height:110.92px" > </div> <div class="sg" id="s39" data-sgid="TextBox 10" style="z-index:8;left:599.24px;top:215.38px;width:83.12px;height:42.10px" data-valign="top"> <div id="s39_t" class="sg" style="z-index:2;left:-12.85px;top:-5.99px;width:105.92px;height:63.91px;"><div><p><span data-textwidth="67.33" class="sg nowrap f1" style="z-index:2;font-size:156%; left:20.91px;top:13.26px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Acini</span></span></p></div></div></div> <div class="sg" id="s44" data-sgid="Straight Arrow Connector 17" style="z-index:13;left:253.69px;top:235.66px;width:87.31px;height:40.88px" data-pointer-events="none"> <img class="sg" src="AEFB65CF.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/AEFB65CF.png" id="s44_i" style="z-index:1;left:0px;top:0px;width:87.31px;height:40.88px" > </div> <div class="sg" id="s41" data-sgid="Freeform 11" style="z-index:10;left:551.72px;top:255.32px;width:134.72px;height:71.72px" data-pointer-events="none"> <img class="sg" src="139711AE.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/139711AE.png" id="s41_i" style="z-index:1;left:0px;top:0px;width:134.72px;height:71.72px" > </div> <div class="sg" id="s32" data-sgid="Picture 1" style="z-index:1;left:278.16px;top:39.80px;width:471.83px;height:500.20px"> <img class="sg" src="4C7FC4E2.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/4C7FC4E2.png" id="s32_i" title="" alt="secondary-pulminary-lobule (2).png" style="z-index:1;left:0px;top:0px;width:471.83px;height:500.20px" > </div> <div class="sg" id="s40" data-sgid="Freeform 8" style="z-index:9;left:442.58px;top:283.01px;width:81.93px;height:99.77px" data-pointer-events="none"> <img class="sg" src="3CF29B77.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/3CF29B77.png" id="s40_i" style="z-index:1;left:0px;top:0px;width:81.93px;height:99.77px" > </div> <div class="sg" id="s45" data-sgid="Freeform 5" style="z-index:14;left:324.20px;top:255.69px;width:246.01px;height:184.91px" data-pointer-events="none"> <img class="sg" src="4057E3B7.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/4057E3B7.png" id="s45_i" style="z-index:1;left:0px;top:0px;width:246.01px;height:184.91px" > </div> <div class="sg" id="s33" data-sgid="TextBox 2" style="z-index:2;left:10.08px;top:269.33px;width:320.13px;height:175.23px" data-valign="top"> <div id="s33_t" class="sg" style="z-index:2;left:-2.15px;top:-4.31px;width:328.99px;height:190.92px;"><div><p para="{al:2}"><span data-textwidth="297.05" class="sg nowrap f1" style="z-index:2;color:#EDFBA0;font-size:128%; left:17.03px;top:10.64px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">The lung parenchyma has </span></span><span data-textwidth="274.61" class="sg nowrap f1" style="z-index:3;color:#EDFBA0;font-size:128%; left:28.32px;top:38.25px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">a dual arterial supply by </span></span><span data-textwidth="290.21" class="sg nowrap f1" style="z-index:4;color:#EDFBA0;font-size:128%; left:20.39px;top:65.85px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">pulmonary and bronchial </span></span><span data-textwidth="291.77" class="sg nowrap f1" style="z-index:5;color:#EDFBA0;font-size:128%; left:19.67px;top:93.46px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">arteries, with a network of </span></span><span data-textwidth="228.52" class="sg nowrap f1" style="z-index:6;color:#EDFBA0;font-size:128%; left:51.24px;top:121.07px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">collaterals up to the </span></span><span data-textwidth="161.55" class="sg nowrap f1" style="z-index:7;color:#EDFBA0;font-size:128%; left:84.85px;top:148.67px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">alveolar level. </span></span></p></div></div></div> <div class="sg" id="s37" data-sgid="Straight Arrow Connector 7" style="z-index:6;left:342.56px;top:428.00px;width:70.40px;height:64.51px" data-pointer-events="none"> <img class="sg" src="26F622CD.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/26F622CD.png" id="s37_i" style="z-index:1;left:0px;top:0px;width:70.40px;height:64.51px" > </div> <div class="sg" id="s35" data-sgid="TextBox 4" style="z-index:4;left:179.43px;top:443.23px;width:204.75px;height:75.91px" data-valign="top"> <div id="s35_t" class="sg" style="z-index:2;left:0.00px;top:-5.50px;width:204.75px;height:93.90px;"><div><p para="{al:2}"><span data-textwidth="145.94" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:150%; left:33.37px;top:12.85px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Pulmonary </span></span><span data-textwidth="64.93" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-size:150%; left:70.09px;top:45.26px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">veins</span></span></p></div></div></div> <div class="sg" id="s47" data-sgid="Rectangle 4" style="z-index:2;left:58.65px;top:11.52px;width:612.07px;height:68.71px" data-valign="top" data-pointer-events="none"> <div id="s47_t" class="sg" style="z-index:2;left:-18.35px;top:-2.16px;width:645.66px;height:90.18px;"><div><p para="{al:2}"><span data-textwidth="591.70" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:222%; left:28.71px;top:18.29px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Evolution of Pulmonary Infarcts</span></span></p></div></div></div> <div class="sg" id="s46" data-sgid="Rectangle 2" style="z-index:1;left:35.51px;top:148.23px;width:648.52px;height:42.10px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s51" data-sgid="Straight Arrow Connector 10" style="z-index:8;left:392.09px;top:239.60px;width:137.35px;height:29.28px" data-pointer-events="none"> <img class="sg" src="B6213C7F.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/B6213C7F.png" id="s51_i" style="z-index:1;left:0px;top:0px;width:137.35px;height:29.28px" > </div> <div class="sg" id="s48" data-sgid="Rectangle 5" style="z-index:3;left:23.51px;top:95.21px;width:564.58px;height:355.94px" data-valign="top" data-pointer-events="none"> <div id="s48_t" class="sg" style="z-index:2;left:-10.20px;top:-2.16px;width:574.78px;height:365.90px;"><div><p><span data-textwidth="446.71" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:133%; left:17.90px;top:10.97px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Evolution of pulmonary infarcts due to </span></span><span data-textwidth="229.47" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-size:133%; left:17.90px;top:45.54px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">pulmonary emboli</span><span class="f1" style="font-size:67%; position:relative;bottom:8px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">14</span></span></span></p><p para="{in:2,bl:{nbr:1,val:1,st:3}}"><span data-textwidth="255.29" class="sg nowrap f1" style="z-index:7;color:#E46C0A;font-size:133%; left:53.90px;top:80.11px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">1.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.49px">&nbsp;</span>Alveolar filling due </span></span></span><span data-textwidth="176.31" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-size:133%; left:89.91px;top:114.68px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">to hemorrhage</span></span></p><p para="{in:2,bl:{nbr:2,val:1,st:3}}"><span data-textwidth="313.02" class="sg nowrap f1" style="z-index:10;color:#E46C0A;font-size:133%; left:53.90px;top:149.24px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">2.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.49px">&nbsp;</span>Peripheral inflammatory</span></span></span><span data-textwidth="103.82" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-size:133%; left:89.91px;top:183.81px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">response</span></span></p><p para="{in:2,bl:{nbr:3,val:1,st:3}}"><span data-textwidth="278.21" class="sg nowrap f1" style="z-index:13;color:#E46C0A;font-size:133%; left:53.90px;top:218.38px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">3.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.49px">&nbsp;</span>Central coagulation </span></span></span><span data-textwidth="92.42" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-size:133%; left:89.91px;top:252.95px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">necrosis</span></span></p><p para="{in:2,bl:{nbr:4,val:1,st:3}}"><span data-textwidth="236.08" class="sg nowrap f1" style="z-index:16;color:#E46C0A;font-size:133%; left:53.90px;top:287.51px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">4.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.49px">&nbsp;</span>Scar formation or</span></span></span></p><p para="{in:2,bl:{nbr:5,val:1,st:3}}"><span data-textwidth="279.05" class="sg nowrap f1" style="z-index:18;color:#E46C0A;font-size:133%; left:53.90px;top:322.08px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">5.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.49px">&nbsp;</span>Complete Resolution</span></span></span></p></div></div></div> <div class="sg" id="s50" data-sgid="Group 18" style="z-index:5;left:474.00px;top:138.00px;width:223.62px;height:331.46px" data-shape="group"> <div class="sg" id="s53" data-sgid="TextBox 17" style="z-index:2;left:4.09px;top:294.31px;width:32.03px;height:37.30px" data-valign="top"> <div id="s53_t" class="sg" style="z-index:2;left:-9.97px;top:-4.42px;width:49.79px;height:54.92px;"><div><p><span data-textwidth="16.44" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:18.08px;top:11.13px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">a</span></span></p></div></div></div> <div class="sg" id="s54" data-sgid="Picture 1" style="z-index:1;left:-0.72px;top:-0.58px;width:224.43px;height:331.83px"> <img class="sg" src="BFDFB8A5.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/BFDFB8A5.jpg" id="s54_i" title="" alt="8333-4.jpg" style="z-index:1;left:0px;top:0px;width:224.43px;height:331.83px" > </div> </div> <div class="sg" id="s52" data-sgid="Straight Arrow Connector 12" style="z-index:9;left:361.98px;top:325.59px;width:239.41px;height:48.34px" data-pointer-events="none"> <img class="sg" src="B653E0F1.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/B653E0F1.png" id="s52_i" style="z-index:1;left:0px;top:0px;width:239.41px;height:48.34px" > </div> <div class="sg" id="s49" data-sgid="TextBox 16" style="z-index:4;left:119.45px;top:467.21px;width:582.56px;height:46.89px" data-valign="top"> <div id="s49_t" class="sg" style="z-index:2;left:0.00px;top:-2.02px;width:591.32px;height:56.71px;"><div><p para="{al:3}"><span data-textwidth="479.00" class="sg nowrap f1" style="z-index:2;color:#EDFBA0;font-size:89%; left:100.91px;top:8.51px;"><span style="text-shadow:1.48px 1.48px 2.80px rgba(0,0,0,0.43)">Figure A: H&amp;E stain of pulmonary infarct demonstrates central </span></span><span data-textwidth="439.03" class="sg nowrap f1" style="z-index:3;color:#EDFBA0;font-size:89%; left:140.63px;top:27.72px;"><span style="text-shadow:1.48px 1.48px 2.80px rgba(0,0,0,0.43)">coagulation necrosis with peripheral rim of inflammation </span></span></p></div></div></div> <div class="sg" id="s62" data-sgid="Rectangle 8" style="z-index:8;left:119.45px;top:-12.48px;width:492.73px;height:56.62px" data-valign="top" data-pointer-events="none"> <div id="s62_t" class="sg" style="z-index:2;left:-13.31px;top:-1.08px;width:517.09px;height:72.68px;"><div><p para="{al:2}"><span data-textwidth="473.48" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:178%; left:23.24px;top:14.52px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Evolution of Pulmonary Infarcts</span></span></p></div></div></div> <div class="sg" id="s59" data-sgid="Right Arrow 5" style="z-index:5;left:337.88px;top:81.79px;width:97.76px;height:55.77px" data-pointer-events="none"> <img class="sg" src="B80C7389.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/B80C7389.png" id="s59_i" style="z-index:1;left:0px;top:0px;width:97.76px;height:55.77px" > </div> <div class="sg" id="s55" data-sgid="Picture 2" style="z-index:1;left:407.32px;top:53.48px;width:192.38px;height:231.35px"> <img class="sg" src="242B6C7F.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/242B6C7F.jpg" id="s55_i" style="z-index:1;left:0px;top:0px;width:192.38px;height:231.35px" > </div> <div class="sg" id="s58" data-sgid="Picture 2 (3)" style="z-index:4;left:173.43px;top:53.48px;width:186.77px;height:232.31px"> <img class="sg" src="6308F89.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/6308F89.jpg" id="s58_i" style="z-index:1;left:0px;top:0px;width:186.77px;height:232.31px" > </div> <div class="sg" id="s60" data-sgid="Right Arrow 6" style="z-index:6;left:547.79px;top:255.69px;width:55.76px;height:97.73px" data-pointer-events="none"> <img class="sg" src="5E51E086.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/5E51E086.png" id="s60_i" style="z-index:1;left:0px;top:0px;width:55.76px;height:97.73px" > </div> <div class="sg" id="s63" data-sgid="Group 13" style="z-index:9;left:12.00px;top:186.00px;width:258.00px;height:249.95px" data-shape="group"> <div class="sg" id="s65" data-sgid="Straight Arrow Connector 11" style="z-index:2;left:168.14px;top:-11.16px;width:71.03px;height:88.77px" data-pointer-events="none"> <img class="sg" src="37CC7C35.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/37CC7C35.png" id="s65_i" style="z-index:1;left:0px;top:0px;width:71.03px;height:88.77px" > </div> <div class="sg" id="s66" data-sgid="TextBox 9" style="z-index:1;left:-0.47px;top:89.35px;width:258.70px;height:160.82px" data-valign="top"> <img class="sg" src="F44F7835.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/F44F7835.png" id="s66_i" style="z-index:1;left:0px;top:0px;width:258.70px;height:160.82px" > <div id="s66_t" class="sg" style="z-index:2;left:-4.34px;top:-2.64px;width:270.34px;height:171.38px;"><div><p para="{al:2}"><span data-textwidth="239.32" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;left:16.57px;top:8.59px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Acute phase of pulmonary </span></span><span data-textwidth="228.16" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;left:22.45px;top:30.20px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">ischemia. Heterogeneous </span></span><span data-textwidth="217.36" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;left:27.62px;top:51.80px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">opacities and increased </span></span><span data-textwidth="205.35" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;left:33.38px;top:73.41px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">volume of the involved </span></span><span data-textwidth="244.72" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;left:13.81px;top:95.01px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">segment represent alveolar </span></span><span data-textwidth="225.52" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;left:23.66px;top:116.62px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">filling due to hemorrhage </span></span><span data-textwidth="155.55" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;left:55.94px;top:138.22px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">and inflammation</span></span></p></div></div></div> </div> <div class="sg" id="s64" data-sgid="Group 14" style="z-index:12;left:12.00px;top:228.00px;width:522.00px;height:193.76px" data-shape="group"> <div class="sg" id="s67" data-sgid="Straight Arrow Connector 16" style="z-index:2;left:272.87px;top:-11.18px;width:261.36px;height:41.13px" data-pointer-events="none"> <img class="sg" src="BD98DBD6.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/BD98DBD6.png" id="s67_i" style="z-index:1;left:0px;top:0px;width:261.36px;height:41.13px" > </div> <div class="sg" id="s68" data-sgid="TextBox 15" style="z-index:1;left:-0.47px;top:11.38px;width:271.05px;height:182.52px" data-valign="top"> <img class="sg" src="FA3202BE.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA3202BE.png" id="s68_i" style="z-index:1;left:0px;top:0px;width:271.05px;height:182.52px" > <div id="s68_t" class="sg" style="z-index:2;left:-5.89px;top:-2.64px;width:286.17px;height:192.82px;"><div><p para="{al:2}"><span data-textwidth="171.51" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;left:58.21px;top:8.55px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Subacute phase of </span></span><span data-textwidth="260.44" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;left:13.68px;top:30.16px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">pulmonary ischemia evolving </span></span><span data-textwidth="228.28" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;left:29.89px;top:51.76px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">into pulmonary infarction. </span></span><span data-textwidth="260.80" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;left:13.56px;top:73.37px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Involved area of coagulation </span></span><span data-textwidth="208.23" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;left:39.97px;top:94.97px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">necrosis is walled off by </span></span><span data-textwidth="227.20" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;left:30.61px;top:116.58px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">consolidative rim. Central </span></span><span data-textwidth="222.15" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;left:32.89px;top:138.18px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">ground glass and </span><span class="f2" style="font-style:italic; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">bubbly </span></span></span><span data-textwidth="146.19" class="sg nowrap f2" style="z-index:11;color:#FFFFFF;font-style:italic; left:68.41px;top:159.91px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">lung sign </span><span class="f1" style="font-style:normal; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">present</span></span></span></p></div></div></div> </div> <div class="sg" id="s57" data-sgid="Picture 3" style="z-index:3;left:173.43px;top:299.32px;width:190.85px;height:215.38px"> <img class="sg" src="AC39166C.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/AC39166C.jpg" id="s57_i" style="z-index:1;left:0px;top:0px;width:190.85px;height:215.38px" > </div> <div class="sg" id="s56" data-sgid="Picture 2 (2)" style="z-index:2;left:407.32px;top:299.32px;width:192.26px;height:217.42px"> <img class="sg" src="E6029C58.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/E6029C58.jpg" id="s56_i" style="z-index:1;left:0px;top:0px;width:192.26px;height:217.42px" > </div> <div class="sg" id="s61" data-sgid="Right Arrow 7" style="z-index:7;left:325.87px;top:435.55px;width:97.76px;height:55.77px" data-pointer-events="none"> <img class="sg" src="E200A4C3.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/E200A4C3.png" id="s61_i" style="z-index:1;left:0px;top:0px;width:97.76px;height:55.77px" > </div> <div class="sg" id="s76" data-sgid="Rectangle 8" style="z-index:8;left:119.45px;top:-12.48px;width:492.73px;height:56.62px" data-valign="top" data-pointer-events="none"> <div id="s76_t" class="sg" style="z-index:2;left:-13.31px;top:-1.08px;width:517.09px;height:72.68px;"><div><p para="{al:2}"><span data-textwidth="473.48" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:178%; left:23.24px;top:14.52px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Evolution of Pulmonary Infarcts</span></span></p></div></div></div> <div class="sg" id="s73" data-sgid="Right Arrow 5" style="z-index:5;left:337.88px;top:81.79px;width:97.76px;height:55.77px" data-pointer-events="none"> <img class="sg" src="B80C7389.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/B80C7389.png" id="s73_i" style="z-index:1;left:0px;top:0px;width:97.76px;height:55.77px" > </div> <div class="sg" id="s69" data-sgid="Picture 2" style="z-index:1;left:407.32px;top:53.48px;width:192.38px;height:231.35px"> <img class="sg" src="242B6C7F.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/242B6C7F.jpg" id="s69_i" style="z-index:1;left:0px;top:0px;width:192.38px;height:231.35px" > </div> <div class="sg" id="s72" data-sgid="Picture 2 (3)" style="z-index:4;left:173.43px;top:53.48px;width:186.77px;height:232.31px"> <img class="sg" src="6308F89.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/6308F89.jpg" id="s72_i" style="z-index:1;left:0px;top:0px;width:186.77px;height:232.31px" > </div> <div class="sg" id="s78" data-sgid="Group 18" style="z-index:12;left:12.00px;top:138.00px;width:264.00px;height:222.00px" data-shape="group"> <div class="sg" id="s81" data-sgid="Straight Arrow Connector 20" style="z-index:2;left:217.45px;top:165.04px;width:58.90px;height:70.89px" data-pointer-events="none"> <img class="sg" src="983D2050.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/983D2050.png" id="s81_i" style="z-index:1;left:0px;top:0px;width:58.90px;height:70.89px" > </div> <div class="sg" id="s82" data-sgid="TextBox 19" style="z-index:1;left:-0.47px;top:-0.58px;width:258.70px;height:152.31px" data-valign="top"> <img class="sg" src="5BA0D313.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/5BA0D313.png" id="s82_i" style="z-index:1;left:0px;top:0px;width:258.70px;height:152.31px" > <div id="s82_t" class="sg" style="z-index:2;left:-3.60px;top:-2.27px;width:268.90px;height:161.90px;"><div><p para="{al:2}"><span data-textwidth="186.87" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:94%; left:41.76px;top:8.36px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Sequela of pulmonary </span></span><span data-textwidth="197.91" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-size:94%; left:36.24px;top:28.77px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">infarction. The ischemic </span></span><span data-textwidth="244.96" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-size:94%; left:12.83px;top:49.17px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">segment retracts and there is </span></span><span data-textwidth="234.16" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-size:94%; left:18.23px;top:69.58px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">progressive volume loss and </span></span><span data-textwidth="229.84" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-size:94%; left:20.27px;top:89.98px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">scar formation. The residual </span></span><span data-textwidth="174.15" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-size:94%; left:48.12px;top:110.38px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">cavity will eventually </span></span><span data-textwidth="160.71" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-size:94%; left:52.68px;top:130.79px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">completely resolve.</span></span></p></div></div></div> </div> <div class="sg" id="s74" data-sgid="Right Arrow 6" style="z-index:6;left:547.79px;top:255.69px;width:55.76px;height:97.73px" data-pointer-events="none"> <img class="sg" src="5E51E086.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/5E51E086.png" id="s74_i" style="z-index:1;left:0px;top:0px;width:55.76px;height:97.73px" > </div> <div class="sg" id="s77" data-sgid="Group 14" style="z-index:9;left:8.83px;top:210.00px;width:495.17px;height:234.00px" data-shape="group"> <div class="sg" id="s79" data-sgid="Straight Arrow Connector 16" style="z-index:2;left:262.84px;top:80.81px;width:244.57px;height:167.06px" data-pointer-events="none"> <img class="sg" src="CE8A64A8.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/CE8A64A8.png" id="s79_i" style="z-index:1;left:0px;top:0px;width:244.57px;height:167.06px" > </div> <div class="sg" id="s80" data-sgid="TextBox 15" style="z-index:1;left:-0.45px;top:-0.61px;width:258.73px;height:160.82px" data-valign="top"> <img class="sg" src="F44F7835.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/F44F7835.png" id="s80_i" style="z-index:1;left:0px;top:0px;width:258.73px;height:160.82px" > <div id="s80_t" class="sg" style="z-index:2;left:0.00px;top:-2.64px;width:259.58px;height:171.38px;"><div><p para="{al:2}"><span data-textwidth="218.92" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;left:22.59px;top:8.54px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Ischemic segment is well </span></span><span data-textwidth="231.88" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;left:15.98px;top:30.14px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">defined and hemorrhagic </span></span><span data-textwidth="211.36" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;left:26.43px;top:51.75px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">infarction is established. </span></span><span data-textwidth="204.87" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;left:29.55px;top:73.35px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Areas of cavitation are </span></span><span data-textwidth="221.56" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;left:21.26px;top:94.96px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">frequently present as the </span></span><span data-textwidth="203.79" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;left:30.15px;top:116.56px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">infarcted parenchyma </span></span><span data-textwidth="181.71" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;left:38.55px;top:138.17px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">evolves into scarring.</span></span></p></div></div></div> </div> <div class="sg" id="s71" data-sgid="Picture 3" style="z-index:3;left:173.43px;top:299.32px;width:190.85px;height:215.38px"> <img class="sg" src="AC39166C.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/AC39166C.jpg" id="s71_i" style="z-index:1;left:0px;top:0px;width:190.85px;height:215.38px" > </div> <div class="sg" id="s70" data-sgid="Picture 2 (2)" style="z-index:2;left:407.32px;top:299.32px;width:192.26px;height:217.42px"> <img class="sg" src="E6029C58.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/E6029C58.jpg" id="s70_i" style="z-index:1;left:0px;top:0px;width:192.26px;height:217.42px" > </div> <div class="sg" id="s75" data-sgid="Right Arrow 7" style="z-index:7;left:325.87px;top:435.55px;width:97.76px;height:55.77px" data-pointer-events="none"> <img class="sg" src="E200A4C3.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/E200A4C3.png" id="s75_i" style="z-index:1;left:0px;top:0px;width:97.76px;height:55.77px" > </div> <div class="sg" id="s84" data-sgid="Rectangle 4" style="z-index:2;left:15.24px;top:41.50px;width:702.50px;height:68.71px" data-valign="top" data-pointer-events="none"> <div id="s84_t" class="sg" style="z-index:2;left:-6.60px;top:-2.15px;width:712.95px;height:90.16px;"><div><p para="{al:2}"><span data-textwidth="658.78" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:222%; left:28.57px;top:18.30px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Radiologic-Pathologic Correlation</span></span></p></div></div></div> <div class="sg" id="s85" data-sgid="Rectangle 5" style="z-index:3;left:23.51px;top:131.43px;width:606.55px;height:56.11px" data-valign="top" data-pointer-events="none"> <div id="s85_t" class="sg" style="z-index:2;left:0.00px;top:-1.30px;width:606.55px;height:57.42px;"><div><p para="{al:2}"><span data-textwidth="571.17" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:111%; left:17.78px;top:9.42px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Multiple CT signs for pulmonary infarcts were identified</span><span class="f1" style="font-size:65%; position:relative;bottom:8px;">4,10, 15</span></span></p></div></div></div> <div class="sg" id="s83" data-sgid="Rectangle 2" style="z-index:1;left:35.51px;top:167.40px;width:648.52px;height:42.10px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s89" data-sgid="Straight Arrow Connector 9" style="z-index:7;left:391.49px;top:260.96px;width:143.92px;height:138.01px" data-pointer-events="none"> <img class="sg" src="87CA5FC7.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/87CA5FC7.png" id="s89_i" style="z-index:1;left:0px;top:0px;width:143.92px;height:138.01px" > </div> <div class="sg" id="s90" data-sgid="Straight Arrow Connector 11" style="z-index:8;left:385.86px;top:314.67px;width:173.54px;height:60.34px" data-pointer-events="none"> <img class="sg" src="8E4A8633.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/8E4A8633.png" id="s90_i" style="z-index:1;left:0px;top:0px;width:173.54px;height:60.34px" > </div> <div class="sg" id="s91" data-sgid="Straight Arrow Connector 13" style="z-index:9;left:403.73px;top:299.57px;width:179.66px;height:84.31px" data-pointer-events="none"> <img class="sg" src="3AE65DB7.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/3AE65DB7.png" id="s91_i" style="z-index:1;left:0px;top:0px;width:179.66px;height:84.31px" > </div> <div class="sg" id="s86" data-sgid="Table 1" style="z-index:4;left:23.02px;top:184.91px;width:398.20px;height:326.21px"> <div id="s86_t" class="sg" style="z-index:2;left:0px;top:0px;width:398.20px;height:326.21px;"><div><p><span data-textwidth="69.25" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:78%; left:8.19px;top:5.97px;">CT Finding</span><span data-textwidth="140.30" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:78%; left:178.01px;top:5.97px;">Pathologic Correlate</span><span data-textwidth="374.22" class="sg nowrap f1" style="z-index:5;color:#000000;font-size:78%; left:8.19px;top:34.30px;">Central ground glass<span style="letter-spacing:27.56px">&nbsp;</span>Alveolar filling due to alveolar </span><span data-textwidth="153.27" class="sg nowrap f1" style="z-index:8;color:#000000;font-size:78%; left:178.01px;top:51.10px;">hemorrhage or partial </span><span data-textwidth="140.90" class="sg nowrap f1" style="z-index:9;color:#000000;font-size:78%; left:178.01px;top:67.91px;">coagulation necrosis</span><span data-textwidth="119.06" class="sg nowrap f1" style="z-index:10;color:#000000;font-size:78%; left:8.19px;top:127.92px;">Rim of peripheral </span><span data-textwidth="91.34" class="sg nowrap f1" style="z-index:12;color:#000000;font-size:78%; left:8.19px;top:144.72px;">consolidation</span><span data-textwidth="154.23" class="sg nowrap f1" style="z-index:13;color:#000000;font-size:78%; left:178.01px;top:127.92px;">Inflammatory response</span><span data-textwidth="100.94" class="sg nowrap f1" style="z-index:15;color:#000000;font-size:78%; left:8.19px;top:178.33px;">Convex Border</span><span data-textwidth="209.56" class="sg nowrap f1" style="z-index:16;color:#000000;font-size:78%; left:178.01px;top:178.33px;">Increasing lung volume due to </span><span data-textwidth="204.16" class="sg nowrap f1" style="z-index:18;color:#000000;font-size:78%; left:178.01px;top:195.13px;">alveolar filling (fissural bowing)</span><span data-textwidth="105.26" class="sg nowrap f1" style="z-index:21;color:#000000;font-size:78%; left:8.19px;top:257.55px;">Lack of central </span><span data-textwidth="98.06" class="sg nowrap f1" style="z-index:22;color:#000000;font-size:78%; left:8.19px;top:274.35px;">enhancement</span><span data-textwidth="154.71" class="sg nowrap f1" style="z-index:23;color:#000000;font-size:78%; left:178.01px;top:257.55px;">Parenchymal ischemia</span></p></div></div><img class="sg" src="8BBACCD5.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/8BBACCD5.png" id="s86_i" style="z-index:1;left:0px;top:0px;width:398.20px;height:326.21px" > </div> <div class="sg" id="s88" data-sgid="Picture 8" style="z-index:6;left:431.31px;top:185.39px;width:278.38px;height:327.04px"> <img class="sg" src="22A3C515.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/22A3C515.jpg" id="s88_i" style="z-index:1;left:0px;top:0px;width:278.38px;height:327.04px" > </div> <div class="sg" id="s87" data-sgid="Picture 6" style="z-index:5;left:431.31px;top:196.43px;width:264.70px;height:311.80px"> <img class="sg" src="6564B3EE.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/6564B3EE.jpg" id="s87_i" style="z-index:1;left:0px;top:0px;width:264.70px;height:311.80px" > </div> <div class="sg" id="s92" data-sgid="Straight Arrow Connector 18" style="z-index:10;left:367.87px;top:377.50px;width:197.53px;height:78.33px" data-pointer-events="none"> <img class="sg" src="267BF946.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/267BF946.png" id="s92_i" style="z-index:1;left:0px;top:0px;width:197.53px;height:78.33px" > </div> <div class="sg" id="s94" data-sgid="Rectangle 4" style="z-index:2;left:-6.49px;top:-6.47px;width:702.50px;height:62.58px" data-valign="top" data-pointer-events="none"> <div id="s94_t" class="sg" style="z-index:2;left:0.00px;top:-1.56px;width:702.50px;height:81.53px;"><div><p para="{al:2}"><span data-textwidth="500.24" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:200%; left:101.31px;top:15.83px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">CT signs of pulmonary infarct</span></span></p></div></div></div> <div class="sg" id="s93" data-sgid="Rectangle 2" style="z-index:1;left:35.51px;top:167.40px;width:648.52px;height:42.10px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s95" data-sgid="Table 1" style="z-index:3;left:53.01px;top:59.01px;width:608.11px;height:422.95px"> <div id="s95_t" class="sg" style="z-index:2;left:0px;top:0px;width:608.11px;height:422.95px;"><div><p><span data-textwidth="59.41" class="sg nowrap f4" style="z-index:2;color:#FFFFFF;font-weight:bold; font-size:67%; left:8.20px;top:5.72px;">CT Finding</span><span data-textwidth="148.95" class="sg nowrap f4" style="z-index:4;color:#FFFFFF;font-weight:bold; font-size:67%; left:140.22px;top:5.72px;">Positive Sign / Total Study </span><span data-textwidth="69.37" class="sg nowrap f4" style="z-index:6;color:#FFFFFF;font-weight:bold; font-size:67%; left:140.22px;top:20.13px;">subjects [n] </span><span data-textwidth="68.29" class="sg nowrap f4" style="z-index:7;color:#FFFFFF;font-weight:bold; font-size:67%; left:344.26px;top:5.72px;">Sensitivity / </span><span data-textwidth="85.57" class="sg nowrap f4" style="z-index:8;color:#FFFFFF;font-weight:bold; font-size:67%; left:344.26px;top:20.13px;">Specificity [%])</span><span data-textwidth="130.47" class="sg nowrap f4" style="z-index:9;color:#FFFFFF;font-weight:bold; font-size:67%; left:452.75px;top:5.72px;">Study Author and Year</span><span data-textwidth="96.62" class="sg nowrap f1" style="z-index:11;color:#000000;font-size:67%; left:8.20px;top:41.49px;">Central Lucency</span><span data-textwidth="132.02" class="sg nowrap f1" style="z-index:12;color:#000000;font-size:67%; left:140.22px;top:41.49px;">23 / 50 (46% (case mix)</span><span data-textwidth="38.41" class="sg nowrap f1" style="z-index:14;color:#000000;font-size:67%; left:344.26px;top:41.49px;">46 / 98</span><span data-textwidth="102.98" class="sg nowrap f1" style="z-index:15;color:#000000;font-size:67%; left:452.75px;top:41.49px;">Revel et al. 2007<span class="f1" style="font-size:67%; position:relative;bottom:4px;">15</span></span><span data-textwidth="136.46" class="sg nowrap f1" style="z-index:17;color:#000000;font-size:67%; left:140.22px;top:68.98px;">7 / 12 (58%) (all infarcts)</span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:18;color:#000000;font-size:67%; left:344.26px;top:68.98px;">N/A</span><span data-textwidth="139.47" class="sg nowrap f1" style="z-index:19;color:#000000;font-size:67%; left:452.75px;top:68.98px;">Balakrishnan et al. 1989<span class="f1" style="font-size:67%; position:relative;bottom:4px;">4</span></span><span data-textwidth="146.79" class="sg nowrap f1" style="z-index:22;color:#000000;font-size:67%; left:140.22px;top:96.34px;">12 / 37 (32%) (all infarcts) </span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:24;color:#000000;font-size:67%; left:344.26px;top:96.34px;">N/A</span><span data-textwidth="87.14" class="sg nowrap f1" style="z-index:25;color:#000000;font-size:67%; left:452.75px;top:96.34px;">He et al. 2006<span class="f1" style="font-size:67%; position:relative;bottom:4px;">10</span></span><span data-textwidth="101.89" class="sg nowrap f1" style="z-index:28;color:#000000;font-size:67%; left:8.20px;top:123.83px;">Rim of peripheral </span><span data-textwidth="78.25" class="sg nowrap f1" style="z-index:30;color:#000000;font-size:67%; left:8.20px;top:138.23px;">consolidation</span><span data-textwidth="156.74" class="sg nowrap f1" style="z-index:31;color:#000000;font-size:67%; left:140.22px;top:123.83px;">12 / 12&nbsp;&nbsp;(100%) (all infarcts) </span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:33;color:#000000;font-size:67%; left:344.26px;top:123.83px;">N/A</span><span data-textwidth="135.03" class="sg nowrap f1" style="z-index:34;color:#000000;font-size:67%; left:452.75px;top:123.83px;">Balakrishnan et al. 1989</span><span data-textwidth="103.81" class="sg nowrap f1" style="z-index:36;color:#000000;font-size:67%; left:8.20px;top:159.84px;">Air bronchograms</span><span data-textwidth="59.65" class="sg nowrap f1" style="z-index:38;color:#000000;font-size:67%; left:140.22px;top:159.84px;">4 / 50 (8%)</span><span data-textwidth="31.81" class="sg nowrap f1" style="z-index:39;color:#000000;font-size:67%; left:344.26px;top:159.84px;">8 / 50</span><span data-textwidth="97.58" class="sg nowrap f1" style="z-index:40;color:#000000;font-size:67%; left:452.75px;top:159.84px;">Revel et al. 2007 </span><span data-textwidth="61.21" class="sg nowrap f1" style="z-index:42;color:#000000;font-size:67%; left:8.20px;top:187.20px;">Vessel sign</span><span data-textwidth="72.85" class="sg nowrap f1" style="z-index:44;color:#000000;font-size:67%; left:140.22px;top:187.20px;">16 / 50 (32%)</span><span data-textwidth="38.41" class="sg nowrap f1" style="z-index:45;color:#000000;font-size:67%; left:344.26px;top:187.20px;">32 / 89</span><span data-textwidth="97.70" class="sg nowrap f1" style="z-index:46;color:#000000;font-size:67%; left:452.75px;top:187.20px;">Revel et al. 2007 </span><span data-textwidth="82.81" class="sg nowrap f1" style="z-index:47;color:#000000;font-size:67%; left:140.22px;top:214.69px;">12 / 12 (100%)</span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:48;color:#000000;font-size:67%; left:344.26px;top:214.69px;">N/A</span><span data-textwidth="135.03" class="sg nowrap f1" style="z-index:49;color:#000000;font-size:67%; left:452.75px;top:214.69px;">Balakrishnan et al. 1989</span><span data-textwidth="86.41" class="sg nowrap f1" style="z-index:51;color:#000000;font-size:67%; left:8.20px;top:242.06px;">Convex Border</span><span data-textwidth="82.70" class="sg nowrap f1" style="z-index:52;color:#000000;font-size:67%; left:140.22px;top:242.06px;">12 / 12&nbsp;&nbsp;(100%)</span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:54;color:#000000;font-size:67%; left:344.26px;top:242.06px;">N/A</span><span data-textwidth="135.02" class="sg nowrap f1" style="z-index:55;color:#000000;font-size:67%; left:452.75px;top:242.06px;">Balakrishnan et al. 1989</span><span data-textwidth="79.45" class="sg nowrap f1" style="z-index:59;color:#000000;font-size:67%; left:140.22px;top:269.54px;">17 / 37 (100%)</span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:60;color:#000000;font-size:67%; left:344.26px;top:269.54px;">N/A</span><span data-textwidth="51.97" class="sg nowrap f1" style="z-index:61;color:#000000;font-size:67%; left:452.75px;top:269.54px;">He et al. </span><span data-textwidth="90.38" class="sg nowrap f1" style="z-index:62;color:#000000;font-size:67%; left:8.20px;top:297.03px;">Lack of central </span><span data-textwidth="83.89" class="sg nowrap f1" style="z-index:64;color:#000000;font-size:67%; left:8.20px;top:311.43px;">enhancement</span><span data-textwidth="76.34" class="sg nowrap f1" style="z-index:65;color:#000000;font-size:67%; left:140.22px;top:297.03px;">35 / 37 (95%) </span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:67;color:#000000;font-size:67%; left:344.26px;top:297.03px;">N/A</span><span data-textwidth="81.85" class="sg nowrap f1" style="z-index:68;color:#000000;font-size:67%; left:452.75px;top:297.03px;">He et al. 2006 </span><span data-textwidth="204.75" class="sg nowrap f1" style="z-index:69;color:#000000;font-size:67%; left:8.20px;top:333.04px;">Broad pleural base<span style="letter-spacing:20.60px">&nbsp;</span>10 / 12 (83%)</span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:72;color:#000000;font-size:67%; left:344.26px;top:333.04px;">N/A</span><span data-textwidth="135.03" class="sg nowrap f1" style="z-index:73;color:#000000;font-size:67%; left:452.75px;top:333.04px;">Balakrishnan et al. 1989</span><span data-textwidth="72.85" class="sg nowrap f1" style="z-index:75;color:#000000;font-size:67%; left:140.22px;top:360.40px;">24 / 37 (65%)</span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:76;color:#000000;font-size:67%; left:344.26px;top:360.40px;">N/A</span><span data-textwidth="81.74" class="sg nowrap f1" style="z-index:77;color:#000000;font-size:67%; left:452.75px;top:360.40px;">He et al. 2006 </span><span data-textwidth="67.69" class="sg nowrap f1" style="z-index:79;color:#000000;font-size:67%; left:8.20px;top:387.89px;">Lower lobe </span><span data-textwidth="87.85" class="sg nowrap f1" style="z-index:80;color:#000000;font-size:67%; left:8.20px;top:402.29px;">predominance</span><span data-textwidth="76.10" class="sg nowrap f1" style="z-index:81;color:#000000;font-size:67%; left:140.22px;top:387.89px;">27 / 37&nbsp;&nbsp;(73%)</span><span data-textwidth="23.04" class="sg nowrap f1" style="z-index:83;color:#000000;font-size:67%; left:344.26px;top:387.89px;">N/A</span><span data-textwidth="81.85" class="sg nowrap f1" style="z-index:84;color:#000000;font-size:67%; left:452.75px;top:387.89px;">He et al. 2006 </span></p></div></div><img class="sg" src="2F5E8FF1.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/2F5E8FF1.png" id="s95_i" style="z-index:1;left:0px;top:0px;width:608.11px;height:422.95px" > </div> <div class="sg" id="s96" data-sgid="Rectangle 11" style="z-index:4;left:11.53px;top:468.54px;width:696.49px;height:65.48px" data-valign="top" data-pointer-events="none"> <div id="s96_t" class="sg" style="z-index:2;left:-7.45px;top:-1.19px;width:709.47px;height:74.95px;"><div><p para="{al:4}"><span data-textwidth="681.47" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:111%; left:15.12px;top:9.60px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Studies evaluating CT signs of pulmonary infarcts. Abbreviations: N/A =</span></span><span data-textwidth="514.41" class="sg nowrap f1" style="z-index:14;color:#FFFFFF;font-size:111%; left:15.12px;top:38.40px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">not available; [n] = number of subjects; [%] = percent</span></span></p></div></div></div> <div class="sg" id="s98" data-sgid="Rectangle 4" style="z-index:2;left:166.24px;top:5.50px;width:384.07px;height:64.06px" data-valign="top" data-pointer-events="none"> <div id="s98_t" class="sg" style="z-index:2;left:-18.35px;top:-1.90px;width:418.00px;height:83.57px;"><div><p para="{al:2}"><span data-textwidth="367.74" class="sg nowrap f4" style="z-index:2;color:#D3D300;font-weight:bold; font-size:206%; left:26.74px;top:16.60px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">The </span><span class="f5" style="font-style:italic; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">bubbly lung</span></span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> sign</span></span></p></div></div></div> <div class="sg" id="s97" data-sgid="Rectangle 2" style="z-index:1;left:35.51px;top:167.40px;width:648.52px;height:42.10px" data-pointer-events="none"> <div style='width:100%;height:100%;background:rgba(0,0,0,0)'></div></div> <div class="sg" id="s100" data-sgid="Group 8" style="z-index:4;left:83.49px;top:71.46px;width:269.75px;height:309.65px"> <img class="sg" src="86C0ACAB.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/86C0ACAB.jpg" id="s100_i" style="z-index:1;left:0px;top:0px;width:269.75px;height:309.65px" > </div> <div class="sg" id="s101" data-sgid="Group 15" style="z-index:9;left:344.59px;top:65.48px;width:261.48px;height:337.11px"> <img class="sg" src="A1F4A3C2.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/A1F4A3C2.png" id="s101_i" style="z-index:1;left:0px;top:0px;width:261.48px;height:337.11px" > </div> <div class="sg" id="s99" data-sgid="Rectangle 5" style="z-index:3;left:23.51px;top:392.51px;width:666.53px;height:123.52px" data-valign="top" data-pointer-events="none"> <div id="s99_t" class="sg" style="z-index:2;left:-7.42px;top:-1.19px;width:679.45px;height:132.51px;"><div><p para="{al:4}"><span data-textwidth="651.47" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:111%; left:15.12px;top:9.53px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">The<span style="letter-spacing:11.95px">&nbsp;</span>only</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.08px">&nbsp;</span>study</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.08px">&nbsp;</span>by</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.09px">&nbsp;</span>Revel</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.08px">&nbsp;</span>et</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.97px">&nbsp;</span>al,</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.08px">&nbsp;</span>which</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.09px">&nbsp;</span>evaluated</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.96px">&nbsp;</span>sensitivities,</span></span><span data-textwidth="651.46" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-size:111%; left:15.12px;top:38.34px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">specificities<span style="letter-spacing:3.43px">&nbsp;</span>and</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>likelyhood</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>ratios</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>for</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.45px">&nbsp;</span>CT</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>signs</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>pulmonary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>infarcts</span></span><span data-textwidth="651.47" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-size:111%; left:15.12px;top:67.14px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">showed that the</span><span class="f4" style="font-weight:bold; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> presence of central lucencies (<span style="letter-spacing:16.29px">&nbsp;</span>)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> with peripheral</span></span></span><span data-textwidth="538.64" class="sg nowrap f4" style="z-index:33;color:#FFFFFF;font-weight:bold; font-size:111%; left:15.12px;top:95.71px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">consolidation (<span style="letter-spacing:13.52px">&nbsp;</span>)</span><span class="f1" style="font-weight:normal; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> strongly suggests pulmonary infarct.</span></span><span class="f1" style="font-weight:normal; font-size:65%; position:relative;bottom:7px;"><span style="letter-spacing:3.92px">&nbsp;</span>15</span></span></p></div></div></div> <div class="sg" id="s103" data-sgid="Straight Arrow Connector 22" style="z-index:15;left:500.04px;top:455.57px;width:35.37px;height:27.23px" data-pointer-events="none"> <img class="sg" src="1B3EA229.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/1B3EA229.png" id="s103_i" style="z-index:1;left:0px;top:0px;width:35.37px;height:27.23px" > </div> <div class="sg" id="s102" data-sgid="Straight Arrow Connector 21" style="z-index:14;left:170.20px;top:485.56px;width:35.37px;height:27.23px" data-pointer-events="none"> <img class="sg" src="35525650.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/35525650.png" id="s102_i" style="z-index:1;left:0px;top:0px;width:35.37px;height:27.23px" > </div> <div class="sg" id="s105" data-sgid="Rectangle 2" style="z-index:2;left:131.46px;top:29.50px;width:453.62px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s105_t" class="sg" style="z-index:2;left:-21.35px;top:-2.52px;width:493.22px;height:98.95px;"><div><p para="{al:2}"><span data-textwidth="433.99" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.27px;top:19.39px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">The </span><span class="f2" style="font-style:italic; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">bubbly lung</span></span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> sign</span></span></p></div></div></div> <div class="sg" id="s109" data-sgid="Oval 3" style="z-index:6;left:259.80px;top:303.52px;width:38.01px;height:26.04px" data-pointer-events="none"> <img class="sg" src="588B437A.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/588B437A.png" id="s109_i" style="z-index:1;left:0px;top:0px;width:38.01px;height:26.04px" > </div> <div class="sg" id="s106" data-sgid="Picture 3" style="z-index:3;left:335.36px;top:119.43px;width:367.99px;height:392.77px"> <img class="sg" src="B4D1BF17.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/B4D1BF17.jpg" id="s106_i" style="z-index:1;left:0px;top:0px;width:367.99px;height:392.77px" > </div> <div class="sg" id="s104" data-sgid="Rectangle 1" style="z-index:1;left:17.50px;top:137.42px;width:305.99px;height:358.95px" data-valign="top" data-pointer-events="none"> <div id="s104_t" class="sg" style="z-index:2;left:-8.75px;top:-1.68px;width:321.57px;height:367.21px;"><div><p para="{al:4}"><span data-textwidth="290.81" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:122%; left:16.45px;top:9.93px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">The</span><span class="f2" style="font-style:italic; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:15.80px">&nbsp;</span>bubbly</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:15.93px">&nbsp;</span>lung</span></span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:15.92px">&nbsp;</span>sign</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:15.80px">&nbsp;</span>is</span></span><span data-textwidth="83.41" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-size:122%; left:16.45px;top:41.62px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">defined</span></span><span data-textwidth="23.40" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-size:122%; left:154.24px;top:41.62px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">as</span></span><span data-textwidth="75.37" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-size:122%; left:232.01px;top:41.62px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">central</span></span><span data-textwidth="143.42" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-size:122%; left:16.45px;top:73.31px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">consolidation</span></span><span data-textwidth="43.45" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-size:122%; left:263.94px;top:73.31px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">with</span></span><span data-textwidth="290.81" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-size:122%; left:16.45px;top:104.99px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">interspersed<span style="letter-spacing:28.41px">&nbsp;</span>regions</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:28.53px">&nbsp;</span>of</span></span><span data-textwidth="290.81" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;font-size:122%; left:16.45px;top:136.68px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">lucency<span style="letter-spacing:32.97px">&nbsp;</span>resembling</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:33.09px">&nbsp;</span>a</span></span><span data-textwidth="290.81" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-size:122%; left:16.45px;top:168.37px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">bubbly<span style="letter-spacing:7.53px">&nbsp;</span>consistency</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.76px">&nbsp;</span>(</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:42.33px">&nbsp;</span>),</span></span><span data-textwidth="290.81" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-size:122%; left:16.45px;top:200.05px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">surrounded<span style="letter-spacing:14.73px">&nbsp;</span>by</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.85px">&nbsp;</span>a</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.84px">&nbsp;</span>rim</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.84px">&nbsp;</span>of</span></span><span data-textwidth="290.81" class="sg nowrap f1" style="z-index:27;color:#FFFFFF;font-size:122%; left:16.45px;top:231.74px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">dense<span style="letter-spacing:5.85px">&nbsp;</span>consolidation</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.08px">&nbsp;</span>(</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:35.85px">&nbsp;</span>)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">.</span></span><span data-textwidth="290.82" class="sg nowrap f1" style="z-index:32;color:#FFFFFF;font-size:122%; left:16.45px;top:263.43px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">This<span style="letter-spacing:37.53px">&nbsp;</span>finding</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:37.53px">&nbsp;</span>is</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:37.65px">&nbsp;</span>best</span></span><span data-textwidth="290.81" class="sg nowrap f1" style="z-index:36;color:#FFFFFF;font-size:122%; left:16.45px;top:295.12px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">appreciated<span style="letter-spacing:6.93px">&nbsp;</span>on</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.05px">&nbsp;</span>soft</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.91px">&nbsp;</span>tissue</span></span><span data-textwidth="98.18" class="sg nowrap f1" style="z-index:40;color:#FFFFFF;font-size:122%; left:16.45px;top:326.80px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">windows.</span></span></p></div></div></div> <div class="sg" id="s107" data-sgid="Straight Arrow Connector 7" style="z-index:4;left:260.14px;top:366.72px;width:52.19px;height:25.19px" data-pointer-events="none"> <img class="sg" src="BF2C202.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/BF2C202.png" id="s107_i" style="z-index:1;left:0px;top:0px;width:52.19px;height:25.19px" > </div> <div class="sg" id="s108" data-sgid="Straight Arrow Connector 9" style="z-index:5;left:505.68px;top:380.77px;width:70.52px;height:41.13px" data-pointer-events="none"> <img class="sg" src="C3773E30.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/C3773E30.png" id="s108_i" style="z-index:1;left:0px;top:0px;width:70.52px;height:41.13px" > </div> <div class="sg" id="s110" data-sgid="Oval 10" style="z-index:7;left:576.45px;top:369.48px;width:91.16px;height:100.37px" data-pointer-events="none"> <img class="sg" src="CEEFD25.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/CEEFD25.png" id="s110_i" style="z-index:1;left:0px;top:0px;width:91.16px;height:100.37px" > </div> <div class="sg" id="s118" data-sgid="Rectangle 2" style="z-index:8;left:65.48px;top:29.50px;width:612.56px;height:75.91px" data-valign="top" data-pointer-events="none"> <div id="s118_t" class="sg" style="z-index:2;left:-9.72px;top:-5.98px;width:637.62px;height:97.48px;"><div><p para="{al:2}"><span data-textwidth="599.38" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:156%; left:20.33px;top:13.09px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Typical appearance of pulmonary infarct in </span></span><span data-textwidth="490.64" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-size:156%; left:70.86px;top:46.69px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">CT pulmonary angiography (case 1)</span></span></p></div></div></div> <div class="sg" id="s113" data-sgid="Picture 3" style="z-index:3;left:485.40px;top:118.13px;width:222.62px;height:234.33px"> <img class="sg" src="8B50FF61.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/8B50FF61.jpg" id="s113_i" style="z-index:1;left:0px;top:0px;width:222.62px;height:234.33px" > </div> <div class="sg" id="s112" data-sgid="Picture 2" style="z-index:2;left:251.39px;top:118.13px;width:226.44px;height:235.18px"> <img class="sg" src="985E1FF.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/985E1FF.jpg" id="s112_i" style="z-index:1;left:0px;top:0px;width:226.44px;height:235.18px" > </div> <div class="sg" id="s111" data-sgid="Picture 4" style="z-index:1;left:17.50px;top:118.13px;width:228.74px;height:236.00px"> <img class="sg" src="F5C44CF8.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/F5C44CF8.jpg" id="s111_i" style="z-index:1;left:0px;top:0px;width:228.74px;height:236.00px" > </div> <div class="sg" id="s115" data-sgid="Straight Arrow Connector 5" style="z-index:5;left:108.78px;top:271.04px;width:34.18px;height:62.58px" data-pointer-events="none"> <img class="sg" src="25092B63.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/25092B63.png" id="s115_i" style="z-index:1;left:0px;top:0px;width:34.18px;height:62.58px" > </div> <div class="sg" id="s119" data-sgid="TextBox 3" style="z-index:9;left:203.42px;top:311.32px;width:32.03px;height:37.16px" data-valign="top"> <div id="s119_t" class="sg" style="z-index:2;left:-10.19px;top:-4.57px;width:49.90px;height:55.06px;"><div><p><span data-textwidth="16.44" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:18.01px;top:11.16px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">a</span></span></p></div></div></div> <div class="sg" id="s120" data-sgid="TextBox 12" style="z-index:10;left:443.32px;top:311.32px;width:32.00px;height:37.16px" data-valign="top"> <div id="s120_t" class="sg" style="z-index:2;left:-10.20px;top:-4.57px;width:49.90px;height:55.06px;"><div><p><span data-textwidth="16.32" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:18.16px;top:11.16px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">b</span></span></p></div></div></div> <div class="sg" id="s121" data-sgid="TextBox 13" style="z-index:11;left:671.21px;top:311.32px;width:32.03px;height:37.16px" data-valign="top"> <div id="s121_t" class="sg" style="z-index:2;left:-10.20px;top:-4.57px;width:49.05px;height:55.06px;"><div><p><span data-textwidth="15.48" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:18.30px;top:11.16px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">c</span></span></p></div></div></div> <div class="sg" id="s116" data-sgid="Straight Arrow Connector 10" style="z-index:6;left:549.94px;top:298.50px;width:27.47px;height:59.12px" data-pointer-events="none"> <img class="sg" src="44549660.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/44549660.png" id="s116_i" style="z-index:1;left:0px;top:0px;width:27.47px;height:59.12px" > </div> <div class="sg" id="s114" data-sgid="Straight Arrow Connector 4" style="z-index:4;left:334.03px;top:311.69px;width:27.47px;height:59.23px" data-pointer-events="none"> <img class="sg" src="C54B4F39.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/C54B4F39.png" id="s114_i" style="z-index:1;left:0px;top:0px;width:27.47px;height:59.23px" > </div> <div class="sg" id="s117" data-sgid="TextBox 11" style="z-index:7;left:41.49px;top:371.29px;width:642.55px;height:146.18px" data-valign="top"> <div id="s117_t" class="sg" style="z-index:2;left:-6.60px;top:-2.89px;width:654.07px;height:157.96px;"><div><p para="{al:4}"><span data-textwidth="627.46" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:106%; left:14.32px;top:9.16px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Yellow<span style="letter-spacing:16.64px">&nbsp;</span>arrow</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.76px">&nbsp;</span>on</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.77px">&nbsp;</span>image</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.76px">&nbsp;</span>a</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.77px">&nbsp;</span>demonstrates</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.76px">&nbsp;</span>segmental</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.76px">&nbsp;</span>acute</span></span><span data-textwidth="187.47" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-size:106%; left:14.32px;top:31.97px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">pulmonary embolus.</span></span></p><p para="{al:4}"><span data-textwidth="627.47" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-size:106%; left:14.32px;top:54.77px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Images<span style="letter-spacing:5.72px">&nbsp;</span>b</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.84px">&nbsp;</span>and</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.84px">&nbsp;</span>c</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.85px">&nbsp;</span>demonstrate</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.84px">&nbsp;</span>posterior</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.60px">&nbsp;</span>segmental</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.84px">&nbsp;</span>left</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.85px">&nbsp;</span>lower</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.60px">&nbsp;</span>lobe</span></span><span data-textwidth="627.46" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;font-size:106%; left:14.32px;top:77.58px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">pulmonary<span style="letter-spacing:7.16px">&nbsp;</span>infarct</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.28px">&nbsp;</span>with</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.28px">&nbsp;</span>typical</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.28px">&nbsp;</span>central</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.28px">&nbsp;</span>“bubbly”</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.29px">&nbsp;</span>sign</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.27px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.17px">&nbsp;</span>infarcted</span></span><span data-textwidth="627.46" class="sg nowrap f1" style="z-index:32;color:#FFFFFF;font-size:106%; left:14.32px;top:100.38px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">lung<span style="letter-spacing:9.56px">&nbsp;</span>in</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.68px">&nbsp;</span>soft</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.68px">&nbsp;</span>tissue</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.68px">&nbsp;</span>window</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.92px">&nbsp;</span>(orange</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.69px">&nbsp;</span>arrows),</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.68px">&nbsp;</span>and</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.68px">&nbsp;</span>classic</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.68px">&nbsp;</span>rim</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.81px">&nbsp;</span>of</span></span><span data-textwidth="128.78" class="sg nowrap f1" style="z-index:43;color:#FFFFFF;font-size:106%; left:14.32px;top:123.19px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">consolidation.</span></span></p></div></div></div> <div class="sg" id="s126" data-sgid="Rectangle 8" style="z-index:5;left:65.48px;top:29.50px;width:618.56px;height:75.91px" data-valign="top" data-pointer-events="none"> <div id="s126_t" class="sg" style="z-index:2;left:-6.72px;top:-5.98px;width:637.62px;height:97.48px;"><div><p para="{al:2}"><span data-textwidth="599.38" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:156%; left:20.33px;top:13.09px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Typical appearance of pulmonary infarct in </span></span><span data-textwidth="490.64" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-size:156%; left:70.86px;top:46.69px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">CT pulmonary angiography (case 2)</span></span></p></div></div></div> <div class="sg" id="s122" data-sgid="Picture 2" style="z-index:1;left:83.49px;top:119.21px;width:264.59px;height:274.01px"> <img class="sg" src="27190E02.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/27190E02.jpg" id="s122_i" style="z-index:1;left:0px;top:0px;width:264.59px;height:274.01px" > </div> <div class="sg" id="s123" data-sgid="Picture 3" style="z-index:2;left:395.34px;top:118.72px;width:234.71px;height:276.54px"> <img class="sg" src="69B9A685.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/69B9A685.jpg" id="s123_i" style="z-index:1;left:0px;top:0px;width:234.71px;height:276.54px" > </div> <div class="sg" id="s125" data-sgid="Straight Arrow Connector 7" style="z-index:4;left:198.75px;top:272.34px;width:34.18px;height:80.60px" data-pointer-events="none"> <img class="sg" src="C5589435.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/C5589435.png" id="s125_i" style="z-index:1;left:0px;top:0px;width:34.18px;height:80.60px" > </div> <div class="sg" id="s127" data-sgid="TextBox 9" style="z-index:6;left:310.16px;top:353.30px;width:32.03px;height:37.16px" data-valign="top"> <div id="s127_t" class="sg" style="z-index:2;left:-9.94px;top:-4.56px;width:49.79px;height:55.04px;"><div><p><span data-textwidth="16.44" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:17.95px;top:11.18px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">a</span></span></p></div></div></div> <div class="sg" id="s124" data-sgid="Straight Arrow Connector 4" style="z-index:3;left:469.82px;top:338.30px;width:34.04px;height:62.61px" data-pointer-events="none"> <img class="sg" src="32CB5D71.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/32CB5D71.png" id="s124_i" style="z-index:1;left:0px;top:0px;width:34.04px;height:62.61px" > </div> <div class="sg" id="s128" data-sgid="TextBox 10" style="z-index:7;left:598.03px;top:358.92px;width:32.03px;height:37.19px" data-valign="top"> <div id="s128_t" class="sg" style="z-index:2;left:-9.94px;top:-4.54px;width:49.76px;height:55.04px;"><div><p><span data-textwidth="16.32" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:18.13px;top:11.18px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">b</span></span></p></div></div></div> <div class="sg" id="s129" data-sgid="TextBox 11" style="z-index:8;left:47.49px;top:398.87px;width:630.54px;height:117.16px" data-valign="top"> <div id="s129_t" class="sg" style="z-index:2;left:-6.00px;top:-2.53px;width:640.87px;height:128.20px;"><div><p para="{al:4}"><span data-textwidth="615.47" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;left:13.72px;top:8.71px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Yellow<span style="letter-spacing:6.20px">&nbsp;</span>arrow</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.20px">&nbsp;</span>demonstrates</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.20px">&nbsp;</span>lobar</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.96px">&nbsp;</span>right</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.20px">&nbsp;</span>lower</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.96px">&nbsp;</span>lobe</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.20px">&nbsp;</span>acute</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.20px">&nbsp;</span>pulmonary</span></span><span data-textwidth="163.71" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;left:13.72px;top:30.31px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">embolus (figure a).</span></span></p><p para="{al:4}"><span data-textwidth="615.46" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;left:13.72px;top:51.92px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Posterior<span style="letter-spacing:6.68px">&nbsp;</span>segmental</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.80px">&nbsp;</span>right</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.92px">&nbsp;</span>lower</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.56px">&nbsp;</span>lobe</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.80px">&nbsp;</span>pulmonary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.67px">&nbsp;</span>infarct</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.04px">&nbsp;</span>with</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.80px">&nbsp;</span>central</span></span><span data-textwidth="615.46" class="sg nowrap f1" style="z-index:24;color:#FFFFFF;left:13.72px;top:73.52px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">“bubbly”<span style="letter-spacing:7.04px">&nbsp;</span>sign</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.04px">&nbsp;</span>in</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.17px">&nbsp;</span>soft</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.27px">&nbsp;</span>tissue</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.28px">&nbsp;</span>window</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.40px">&nbsp;</span>(orange</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.17px">&nbsp;</span>arrow,</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.28px">&nbsp;</span>figure</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.16px">&nbsp;</span>b)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">.<span style="letter-spacing:7.28px">&nbsp;</span>Note</span></span><span data-textwidth="525.21" class="sg nowrap f1" style="z-index:36;color:#FFFFFF;left:13.72px;top:95.13px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">absence of normal contrast enhancement of ischemic lung.</span></span></p></div></div></div> <div class="sg" id="s133" data-sgid="Rectangle 12" style="z-index:10;left:53.50px;top:8.40px;width:618.53px;height:75.91px" data-valign="top" data-pointer-events="none"> <div id="s133_t" class="sg" style="z-index:2;left:-6.72px;top:-5.99px;width:637.62px;height:97.48px;"><div><p para="{al:2}"><span data-textwidth="599.38" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:156%; left:20.31px;top:13.07px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Typical appearance of pulmonary infarct in </span></span><span data-textwidth="456.20" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-size:156%; left:88.00px;top:46.68px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Non-enhanced Chest CT (case 3)</span></span></p></div></div></div> <div class="sg" id="s131" data-sgid="Group 3" style="z-index:6;left:360.00px;top:88.08px;width:237.76px;height:283.92px" data-shape="group"> <div class="sg" id="s142" data-sgid="TextBox 8" style="z-index:2;left:209.74px;top:248.32px;width:25.18px;height:30.21px" data-valign="top"> <div id="s142_t" class="sg" style="z-index:2;left:-10.09px;top:-4.46px;width:49.79px;height:54.92px;"><div><p><span data-textwidth="16.32" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:18.13px;top:11.06px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">b</span></span></p></div></div></div> <div class="sg" id="s143" data-sgid="Picture 3" style="z-index:1;left:-0.65px;top:-0.53px;width:238.45px;height:284.57px"> <img class="sg" src="A645BF14.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/A645BF14.jpg" id="s143_i" style="z-index:1;left:0px;top:0px;width:238.45px;height:284.57px" > </div> </div> <div class="sg" id="s130" data-sgid="Group 1" style="z-index:1;left:122.92px;top:88.18px;width:231.08px;height:283.82px" data-shape="group"> <div class="sg" id="s138" data-sgid="TextBox 7" style="z-index:4;left:202.13px;top:248.22px;width:25.29px;height:30.21px" data-valign="top"> <div id="s138_t" class="sg" style="z-index:2;left:-10.08px;top:-4.46px;width:49.90px;height:54.92px;"><div><p><span data-textwidth="16.44" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:17.97px;top:11.06px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">a</span></span></p></div></div></div> <div class="sg" id="s139" data-sgid="Straight Arrow Connector 11" style="z-index:3;left:72.34px;top:47.71px;width:34.18px;height:59.46px" data-pointer-events="none"> <img class="sg" src="D17BD00.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/D17BD00.png" id="s139_i" style="z-index:1;left:0px;top:0px;width:34.18px;height:59.46px" > </div> <div class="sg" id="s140" data-sgid="Straight Arrow Connector 5" style="z-index:2;left:9.50px;top:136.19px;width:58.40px;height:33.96px" data-pointer-events="none"> <img class="sg" src="DE021194.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/DE021194.png" id="s140_i" style="z-index:1;left:0px;top:0px;width:58.40px;height:33.96px" > </div> <div class="sg" id="s141" data-sgid="Picture 2" style="z-index:1;left:-0.58px;top:-0.63px;width:231.85px;height:284.57px"> <img class="sg" src="A9EF4F3B.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/A9EF4F3B.jpg" id="s141_i" style="z-index:1;left:0px;top:0px;width:231.85px;height:284.57px" > </div> </div> <div class="sg" id="s135" data-sgid="Oval 15" style="z-index:12;left:391.72px;top:213.59px;width:86.01px;height:68.00px" data-pointer-events="none"> <img class="sg" src="C8D90DF4.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/C8D90DF4.png" id="s135_i" style="z-index:1;left:0px;top:0px;width:86.01px;height:68.00px" > </div> <div class="sg" id="s137" data-sgid="Straight Arrow Connector 17" style="z-index:14;left:356.12px;top:410.13px;width:38.85px;height:22.33px" data-pointer-events="none"> <img class="sg" src="4781B0AD.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/4781B0AD.png" id="s137_i" style="z-index:1;left:0px;top:0px;width:38.85px;height:22.33px" > </div> <div class="sg" id="s134" data-sgid="Straight Arrow Connector 13" style="z-index:11;left:104.22px;top:434.13px;width:44.86px;height:22.30px" data-pointer-events="none"> <img class="sg" src="7E5D795C.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/7E5D795C.png" id="s134_i" style="z-index:1;left:0px;top:0px;width:44.86px;height:22.30px" > </div> <div class="sg" id="s132" data-sgid="TextBox 9" style="z-index:9;left:17.50px;top:374.64px;width:684.52px;height:153.39px" data-valign="top"> <div id="s132_t" class="sg" style="z-index:2;left:-7.42px;top:-3.24px;width:697.46px;height:166.10px;"><div><p para="{al:4}"><span data-textwidth="669.47" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:111%; left:15.12px;top:9.52px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Lung<span style="letter-spacing:7.04px">&nbsp;</span>window</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.29px">&nbsp;</span>(figure</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.16px">&nbsp;</span>a)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.17px">&nbsp;</span>demonstrates</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.04px">&nbsp;</span>subsegmental</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.16px">&nbsp;</span>consolidation</span></span><span data-textwidth="669.72" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;font-size:111%; left:15.12px;top:33.53px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">with central ground glass opacity (<span style="letter-spacing:19.16px">&nbsp;</span>)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">. Note anterior bowing of major</span></span><span data-textwidth="669.48" class="sg nowrap f1" style="z-index:22;color:#FFFFFF;font-size:111%; left:15.12px;top:57.53px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">fissure<span style="letter-spacing:12.81px">&nbsp;</span>(</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:29.00px">&nbsp;</span>)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.81px">&nbsp;</span>reflecting</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.67px">&nbsp;</span>to</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.81px">&nbsp;</span>increased</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.68px">&nbsp;</span>volume</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.80px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.81px">&nbsp;</span>abnormal</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:12.68px">&nbsp;</span>lung</span></span><span data-textwidth="542.85" class="sg nowrap f1" style="z-index:32;color:#FFFFFF;font-size:111%; left:15.12px;top:81.54px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">parenchyma, due to hemorrhagic alveolar occupation.</span></span></p><p para="{al:4}"><span data-textwidth="669.47" class="sg nowrap f1" style="z-index:40;color:#FFFFFF;font-size:111%; left:15.12px;top:105.55px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Soft<span style="letter-spacing:15.92px">&nbsp;</span>tissue</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.17px">&nbsp;</span>window</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.28px">&nbsp;</span>(figure</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.16px">&nbsp;</span>b)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.05px">&nbsp;</span>demonstrates</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.05px">&nbsp;</span>typical</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:16.16px">&nbsp;</span>“bubbly”</span></span><span data-textwidth="479.84" class="sg nowrap f1" style="z-index:48;color:#FFFFFF;font-size:111%; left:15.12px;top:129.55px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">appearance of ischemic lung parenchyma (<span style="letter-spacing:30.08px">&nbsp;</span>)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">.</span></span></p></div></div></div> <div class="sg" id="s136" data-sgid="Oval 16" style="z-index:13;left:457.70px;top:501.39px;width:38.01px;height:26.04px" data-pointer-events="none"> <img class="sg" src="51876BAD.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/51876BAD.png" id="s136_i" style="z-index:1;left:0px;top:0px;width:38.01px;height:26.04px" > </div> <div class="sg" id="s146" data-sgid="Rectangle 5" style="z-index:3;left:53.50px;top:23.52px;width:618.53px;height:71.09px" data-valign="top" data-pointer-events="none"> <div id="s146_t" class="sg" style="z-index:2;left:0.00px;top:-5.42px;width:618.53px;height:90.78px;"><div><p para="{al:2}"><span data-textwidth="431.82" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:144%; left:97.13px;top:12.51px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Suspected pulmonary ischemia in </span></span></p><p para="{al:2}"><span data-textwidth="423.55" class="sg nowrap f1" style="z-index:4;color:#FFFF00;font-size:144%; left:97.61px;top:43.71px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Non-enhanced Chest CT (case 4)</span></span></p></div></div></div> <div class="sg" id="s145" data-sgid="Picture 2" style="z-index:2;left:365.35px;top:101.45px;width:332.70px;height:279.43px"> <img class="sg" src="2DDF270.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/2DDF270.jpg" id="s145_i" title="" alt="Screen Clipping" style="z-index:1;left:0px;top:0px;width:332.70px;height:279.43px" > </div> <div class="sg" id="s144" data-sgid="Picture 1" style="z-index:1;left:16.79px;top:101.45px;width:335.59px;height:280.51px"> <img class="sg" src="7353B2E2.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/7353B2E2.jpg" id="s144_i" title="" alt="Screen Clipping" style="z-index:1;left:0px;top:0px;width:335.59px;height:280.51px" > </div> <div class="sg" id="s148" data-sgid="Straight Arrow Connector 7" style="z-index:5;left:26.28px;top:332.20px;width:62.84px;height:22.30px" data-pointer-events="none"> <img class="sg" src="4459A43B.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/4459A43B.png" id="s148_i" style="z-index:1;left:0px;top:0px;width:62.84px;height:22.30px" > </div> <div class="sg" id="s149" data-sgid="Straight Arrow Connector 9" style="z-index:6;left:368.10px;top:338.18px;width:62.84px;height:22.30px" data-pointer-events="none"> <img class="sg" src="80647694.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/80647694.png" id="s149_i" style="z-index:1;left:0px;top:0px;width:62.84px;height:22.30px" > </div> <div class="sg" id="s150" data-sgid="TextBox 10" style="z-index:7;left:311.38px;top:335.29px;width:29.25px;height:32.40px" data-valign="top"> <div id="s150_t" class="sg" style="z-index:2;left:-5.64px;top:-3.23px;width:41.86px;height:46.18px;"><div><p><span data-textwidth="13.68" class="sg nowrap f1" style="z-index:2;color:#FF0000;font-size:111%; left:13.51px;top:9.50px;"><span style="text-shadow:1.48px 1.48px 2.80px rgba(0,0,0,0.43)">a</span></span></p></div></div></div> <div class="sg" id="s151" data-sgid="TextBox 11" style="z-index:8;left:660.76px;top:339.74px;width:29.28px;height:32.37px" data-valign="top"> <div id="s151_t" class="sg" style="z-index:2;left:-5.53px;top:-3.23px;width:42.00px;height:46.27px;"><div><p><span data-textwidth="13.68" class="sg nowrap f1" style="z-index:2;color:#FF0000;font-size:111%; left:13.76px;top:9.49px;"><span style="text-shadow:1.48px 1.48px 2.80px rgba(0,0,0,0.43)">b</span></span></p></div></div></div> <div class="sg" id="s152" data-sgid="Straight Arrow Connector 12" style="z-index:9;left:500.04px;top:416.14px;width:32.85px;height:22.30px" data-pointer-events="none"> <img class="sg" src="328BA09C.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/328BA09C.png" id="s152_i" style="z-index:1;left:0px;top:0px;width:32.85px;height:22.30px" > </div> <div class="sg" id="s147" data-sgid="TextBox 6" style="z-index:4;left:23.51px;top:389.28px;width:662.45px;height:117.16px" data-valign="top"> <div id="s147_t" class="sg" style="z-index:2;left:-6.01px;top:-2.64px;width:668.57px;height:128.20px;"><div><p><span data-textwidth="634.54" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;left:13.71px;top:8.69px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Lung window (figure a) demonstrates right lower lobe subpleural ground </span></span><span data-textwidth="643.07" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;left:13.71px;top:30.29px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">glass opacities, poorly defined due to motion artifact (&nbsp;&nbsp;&nbsp;&nbsp;).&nbsp;&nbsp;Axial image in </span></span><span data-textwidth="643.31" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;left:13.71px;top:51.90px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">soft tissue window (figure b) demonstrates the bubbly lung sign (&nbsp;&nbsp;&nbsp;&nbsp;) in the </span></span><span data-textwidth="642.47" class="sg nowrap f1" style="z-index:9;color:#FFFFFF;left:13.71px;top:73.50px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">same area, raising the suspicion for pulmonary ischemia secondary to PE. </span></span><span data-textwidth="388.02" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;left:13.71px;top:95.11px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Further assessment with CTPA was indicated.</span></span></p></div></div></div> <div class="sg" id="s153" data-sgid="Straight Arrow Connector 14" style="z-index:10;left:584.01px;top:440.11px;width:32.85px;height:22.30px" data-pointer-events="none"> <img class="sg" src="4C75040A.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/4C75040A.png" id="s153_i" style="z-index:1;left:0px;top:0px;width:32.85px;height:22.30px" > </div> <div class="sg" id="s156" data-sgid="Rectangle 5" style="z-index:3;left:53.50px;top:20.40px;width:618.53px;height:75.91px" data-valign="top" data-pointer-events="none"> <div id="s156_t" class="sg" style="z-index:2;left:0.00px;top:-5.53px;width:618.53px;height:93.90px;"><div><p para="{al:2}"><span data-textwidth="558.81" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:150%; left:33.75px;top:12.50px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Confirmed PE and pulmonary ischemia by </span></span><span data-textwidth="444.67" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-size:150%; left:87.16px;top:44.90px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">CTPA in the same patient (case 4)</span></span></p></div></div></div> <div class="sg" id="s155" data-sgid="Picture 4" style="z-index:2;left:359.35px;top:95.46px;width:341.48px;height:288.43px"> <img class="sg" src="33126C7B.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/33126C7B.png" id="s155_i" title="" alt="Screen Clipping" style="z-index:1;left:0px;top:0px;width:341.48px;height:288.43px" > </div> <div class="sg" id="s154" data-sgid="Picture 3" style="z-index:1;left:17.50px;top:96.31px;width:337.17px;height:287.80px"> <img class="sg" src="9F0A075F.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/9F0A075F.jpg" id="s154_i" title="" alt="Screen Clipping" style="z-index:1;left:0px;top:0px;width:337.17px;height:287.80px" > </div> <div class="sg" id="s157" data-sgid="Straight Arrow Connector 8" style="z-index:4;left:50.27px;top:272.23px;width:56.84px;height:22.30px" data-pointer-events="none"> <img class="sg" src="227E032A.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/227E032A.png" id="s157_i" style="z-index:1;left:0px;top:0px;width:56.84px;height:22.30px" > </div> <div class="sg" id="s158" data-sgid="Straight Arrow Connector 10" style="z-index:5;left:398.09px;top:296.20px;width:62.84px;height:22.33px" data-pointer-events="none"> <img class="sg" src="F494B970.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/F494B970.png" id="s158_i" style="z-index:1;left:0px;top:0px;width:62.84px;height:22.33px" > </div> <div class="sg" id="s160" data-sgid="Straight Arrow Connector 11" style="z-index:7;left:643.96px;top:422.13px;width:38.88px;height:22.30px" data-pointer-events="none"> <img class="sg" src="4164BBA9.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/4164BBA9.png" id="s160_i" style="z-index:1;left:0px;top:0px;width:38.88px;height:22.30px" > </div> <div class="sg" id="s159" data-sgid="TextBox 9" style="z-index:6;left:23.51px;top:395.26px;width:662.45px;height:138.87px" data-valign="top"> <div id="s159_t" class="sg" style="z-index:2;left:-6.01px;top:-2.64px;width:672.76px;height:141.50px;"><div><p para="{al:4}"><span data-textwidth="647.51" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;left:13.71px;top:8.71px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Axial<span style="letter-spacing:4.27px">&nbsp;</span>images</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.53px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>CTPA</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>the</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.53px">&nbsp;</span>same</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>patient</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>confirm</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>the</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.53px">&nbsp;</span>presence</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.53px">&nbsp;</span>right</span></span><span data-textwidth="647.50" class="sg nowrap f1" style="z-index:15;color:#FFFFFF;left:13.71px;top:30.31px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">lower lobe segmental and subsegmental acute pulmonary embolism (<span style="letter-spacing:19.40px">&nbsp;</span>)</span></span><span data-textwidth="332.33" class="sg nowrap f1" style="z-index:25;color:#FFFFFF;left:13.71px;top:51.92px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">and consequent pulmonary ischemia.</span></span></p><p para="{al:4}"><span data-textwidth="647.50" class="sg nowrap f1" style="z-index:30;color:#FFFFFF;left:13.71px;top:73.52px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">The detection<span style="letter-spacing:7.53px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"> the bubbly lung sing proved to be useful in the diagnosis</span></span><span data-textwidth="167.54" class="sg nowrap f1" style="z-index:44;color:#FFFFFF;left:13.71px;top:95.13px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">of PE in this patient.</span></span></p></div></div></div> <div class="sg" id="s161" data-sgid="Rectangle 3" style="z-index:1;left:59.50px;top:17.50px;width:618.53px;height:75.91px" data-valign="top" data-pointer-events="none"> <div id="s161_t" class="sg" style="z-index:2;left:-6.71px;top:-5.98px;width:637.59px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="599.38" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:156%; left:20.30px;top:13.08px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Typical appearance of pulmonary infarct in </span></span><span data-textwidth="456.20" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-size:156%; left:87.99px;top:46.69px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Non-enhanced Chest CT (case 5)</span></span></p></div></div></div> <div class="sg" id="s163" data-sgid="Group 14" style="z-index:3;left:174.00px;top:108.00px;width:366.80px;height:294.00px" data-shape="group"> <div class="sg" id="s168" data-sgid="Straight Arrow Connector 13" style="z-index:5;left:229.95px;top:224.31px;width:62.87px;height:33.93px" data-pointer-events="none"> <img class="sg" src="B0A66F34.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/B0A66F34.png" id="s168_i" style="z-index:1;left:0px;top:0px;width:62.87px;height:33.93px" > </div> <div class="sg" id="s169" data-sgid="Straight Arrow Connector 10" style="z-index:4;left:42.73px;top:200.31px;width:45.93px;height:51.57px" data-pointer-events="none"> <img class="sg" src="EFE255B9.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/EFE255B9.png" id="s169_i" style="z-index:1;left:0px;top:0px;width:45.93px;height:51.57px" > </div> <div class="sg" id="s170" data-sgid="Straight Arrow Connector 9" style="z-index:3;left:288.63px;top:165.67px;width:34.18px;height:62.58px" data-pointer-events="none"> <img class="sg" src="15ACECE4.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/15ACECE4.png" id="s170_i" style="z-index:1;left:0px;top:0px;width:34.18px;height:62.58px" > </div> <div class="sg" id="s171" data-sgid="Straight Arrow Connector 8" style="z-index:2;left:18.74px;top:99.72px;width:34.18px;height:62.58px" data-pointer-events="none"> <img class="sg" src="B917FA09.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/B917FA09.png" id="s171_i" style="z-index:1;left:0px;top:0px;width:34.18px;height:62.58px" > </div> <div class="sg" id="s172" data-sgid="Group 1" style="z-index:1;left:-0.57px;top:-0.54px;width:369.54px;height:307.94px"> <div id="s172_t" class="sg" style="z-index:2;left:0px;top:0px;width:369.54px;height:307.94px;"><div><p><span data-textwidth="16.44" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:337.86px;top:264.10px;">a</span></p></div></div><img class="sg" src="4C86E0B4.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/4C86E0B4.png" id="s172_i" style="z-index:1;left:0px;top:0px;width:369.54px;height:307.94px" > </div> </div> <div class="sg" id="s164" data-sgid="Group 24" style="z-index:11;left:162.00px;top:108.00px;width:378.58px;height:294.35px" data-shape="group"> <div class="sg" id="s173" data-sgid="Straight Arrow Connector 25" style="z-index:5;left:46.09px;top:128.74px;width:53.98px;height:42.21px" data-pointer-events="none"> <img class="sg" src="ACC110E8.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/ACC110E8.png" id="s173_i" style="z-index:1;left:0px;top:0px;width:53.98px;height:42.21px" > </div> <div class="sg" id="s174" data-sgid="Straight Arrow Connector 23" style="z-index:4;left:315.98px;top:183.06px;width:42.34px;height:53.84px" data-pointer-events="none"> <img class="sg" src="34AC05D1.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/34AC05D1.png" id="s174_i" style="z-index:1;left:0px;top:0px;width:42.34px;height:53.84px" > </div> <div class="sg" id="s175" data-sgid="Straight Arrow Connector 21" style="z-index:3;left:294.97px;top:165.19px;width:36.48px;height:53.73px" data-pointer-events="none"> <img class="sg" src="48CBF268.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/48CBF268.png" id="s175_i" style="z-index:1;left:0px;top:0px;width:36.48px;height:53.73px" > </div> <div class="sg" id="s176" data-sgid="Straight Arrow Connector 20" style="z-index:2;left:22.11px;top:111.69px;width:27.47px;height:59.26px" data-pointer-events="none"> <img class="sg" src="EF852C46.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/EF852C46.png" id="s176_i" style="z-index:1;left:0px;top:0px;width:27.47px;height:59.26px" > </div> <div class="sg" id="s177" data-sgid="Group 15" style="z-index:1;left:-0.55px;top:-0.54px;width:381.52px;height:308.31px"> <div id="s177_t" class="sg" style="z-index:2;left:0px;top:0px;width:381.52px;height:308.31px;"><div><p><span data-textwidth="16.32" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:349.84px;top:264.46px;">b</span></p></div></div><img class="sg" src="A055412E.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/A055412E.png" id="s177_i" style="z-index:1;left:0px;top:0px;width:381.52px;height:308.31px" > </div> </div> <div class="sg" id="s165" data-sgid="Straight Arrow Connector 19" style="z-index:19;left:506.04px;top:440.11px;width:38.85px;height:22.30px" data-pointer-events="none"> <img class="sg" src="5746ECD0.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/5746ECD0.png" id="s165_i" style="z-index:1;left:0px;top:0px;width:38.85px;height:22.30px" > </div> <div class="sg" id="s162" data-sgid="TextBox 4" style="z-index:2;left:35.51px;top:413.25px;width:662.43px;height:95.35px" data-valign="top"> <div id="s162_t" class="sg" style="z-index:2;left:-6.00px;top:-2.64px;width:672.76px;height:106.61px;"><div><p para="{al:4}"><span data-textwidth="647.51" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;left:13.70px;top:8.72px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Lung<span style="letter-spacing:6.44px">&nbsp;</span>window</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>(figure</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.32px">&nbsp;</span>a)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.32px">&nbsp;</span>and</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.32px">&nbsp;</span>soft</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>tissue</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>window</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.56px">&nbsp;</span>(figure</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>b)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.33px">&nbsp;</span>demonstrate</span></span><span data-textwidth="647.50" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;left:13.70px;top:30.33px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">bilateral,<span style="letter-spacing:8.12px">&nbsp;</span>peripheral,</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.36px">&nbsp;</span>subsegmental</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.24px">&nbsp;</span>consolidation</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.36px">&nbsp;</span>(</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:30.81px">&nbsp;</span>)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">.<span style="letter-spacing:8.24px">&nbsp;</span>Note</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.36px">&nbsp;</span>that</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:8.36px">&nbsp;</span>the</span></span><span data-textwidth="647.51" class="sg nowrap f1" style="z-index:23;color:#FFFFFF;left:13.70px;top:51.93px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">central<span style="letter-spacing:6.44px">&nbsp;</span>lucencies</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.80px">&nbsp;</span>(</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:25.65px">&nbsp;</span>)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.68px">&nbsp;</span>and</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.56px">&nbsp;</span>peripheral</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.57px">&nbsp;</span>consolidative</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.56px">&nbsp;</span>rim</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.68px">&nbsp;</span>(</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:25.77px">&nbsp;</span>)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.56px">&nbsp;</span>are</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.57px">&nbsp;</span>best</span></span><span data-textwidth="311.45" class="sg nowrap f1" style="z-index:35;color:#FFFFFF;left:13.70px;top:73.54px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">appreciated on soft tissue windows.</span></span></p></div></div></div> <div class="sg" id="s166" data-sgid="Straight Arrow Connector 22" style="z-index:20;left:212.17px;top:464.11px;width:38.85px;height:22.30px" data-pointer-events="none"> <img class="sg" src="838A258E.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/838A258E.png" id="s166_i" style="z-index:1;left:0px;top:0px;width:38.85px;height:22.30px" > </div> <div class="sg" id="s167" data-sgid="Straight Arrow Connector 26" style="z-index:21;left:572.00px;top:464.11px;width:38.85px;height:22.30px" data-pointer-events="none"> <img class="sg" src="559BFA2F.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/559BFA2F.png" id="s167_i" style="z-index:1;left:0px;top:0px;width:38.85px;height:22.30px" > </div> <div class="sg" id="s178" data-sgid="Rectangle 3" style="z-index:1;left:59.50px;top:17.50px;width:618.53px;height:75.91px" data-valign="top" data-pointer-events="none"> <div id="s178_t" class="sg" style="z-index:2;left:-6.71px;top:-5.98px;width:637.59px;height:97.50px;"><div><p para="{al:2}"><span data-textwidth="599.38" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:156%; left:20.30px;top:13.08px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Typical appearance of pulmonary infarct in </span></span><span data-textwidth="456.20" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-size:156%; left:87.99px;top:46.69px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Non-enhanced Chest CT (case 5)</span></span></p></div></div></div> <div class="sg" id="s180" data-sgid="Picture 27" style="z-index:3;left:167.43px;top:107.46px;width:396.67px;height:312.03px"> <img class="sg" src="EF170433.jpg" tppabs="http://ppt.xctmr.com/20160410/CHE14231/EF170433.jpg" id="s180_i" title="" alt="Screen Clipping" style="z-index:1;left:0px;top:0px;width:396.67px;height:312.03px" > </div> <div class="sg" id="s181" data-sgid="Straight Arrow Connector 22" style="z-index:4;left:140.21px;top:269.70px;width:59.39px;height:27.23px" data-pointer-events="none"> <img class="sg" src="7D91474.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/7D91474.png" id="s181_i" style="z-index:1;left:0px;top:0px;width:59.39px;height:27.23px" > </div> <div class="sg" id="s182" data-sgid="Straight Arrow Connector 28" style="z-index:5;left:489.96px;top:371.63px;width:53.38px;height:27.23px" data-pointer-events="none"> <img class="sg" src="D1C0E36B.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/D1C0E36B.png" id="s182_i" style="z-index:1;left:0px;top:0px;width:53.38px;height:27.23px" > </div> <div class="sg" id="s183" data-sgid="Straight Arrow Connector 6" style="z-index:6;left:290.14px;top:455.57px;width:39.11px;height:27.23px" data-pointer-events="none"> <img class="sg" src="896CE791.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/896CE791.png" id="s183_i" style="z-index:1;left:0px;top:0px;width:39.11px;height:27.23px" > </div> <div class="sg" id="s179" data-sgid="TextBox 4" style="z-index:2;left:77.48px;top:425.25px;width:582.56px;height:105.05px" data-valign="top"> <div id="s179_t" class="sg" style="z-index:2;left:-7.45px;top:-3.24px;width:595.53px;height:118.13px;"><div><p para="{al:4}"><span data-textwidth="567.46" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:111%; left:15.18px;top:9.57px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Follow<span style="letter-spacing:14.13px">&nbsp;</span>up</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.12px">&nbsp;</span>axial</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.24px">&nbsp;</span>image</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.25px">&nbsp;</span>after</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.00px">&nbsp;</span>4</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.12px">&nbsp;</span>weeks</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:14.25px">&nbsp;</span>demonstrates</span></span><span data-textwidth="567.46" class="sg nowrap f1" style="z-index:10;color:#FFFFFF;font-size:111%; left:15.18px;top:33.57px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">bandlike<span style="letter-spacing:9.09px">&nbsp;</span>opacities</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.33px">&nbsp;</span>(</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:21.92px">&nbsp;</span>)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.21px">&nbsp;</span>representing</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.20px">&nbsp;</span>scarring</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.20px">&nbsp;</span>phase</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:9.09px">&nbsp;</span>as</span></span><span data-textwidth="567.46" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-size:111%; left:15.18px;top:57.58px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">sequela<span style="letter-spacing:5.01px">&nbsp;</span>from</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.12px">&nbsp;</span>resolved</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.12px">&nbsp;</span>pulmonary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.12px">&nbsp;</span>infarctions</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.12px">&nbsp;</span>in</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.12px">&nbsp;</span>the</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.12px">&nbsp;</span>same</span></span><span data-textwidth="75.62" class="sg nowrap f1" style="z-index:26;color:#FFFFFF;font-size:111%; left:15.18px;top:81.58px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">patient.</span></span></p></div></div></div> <div class="sg" id="s184" data-sgid="Rectangle 3" style="z-index:1;left:59.50px;top:18.10px;width:618.53px;height:66.21px" data-valign="top" data-pointer-events="none"> <div id="s184_t" class="sg" style="z-index:2;left:-7.19px;top:-4.54px;width:637.36px;height:83.83px;"><div><p para="{al:2}"><span data-textwidth="604.18" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:133%; left:17.66px;top:10.88px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Typical appearance of subacute pulmonary infarct </span></span><span data-textwidth="463.64" class="sg nowrap f1" style="z-index:6;color:#FFFF00;font-size:133%; left:84.75px;top:39.69px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">in contrast-enhanced Chest CT (case 7)</span></span></p></div></div></div> <div class="sg" id="s187" data-sgid="Group 15" style="z-index:10;left:144.00px;top:90.00px;width:453.61px;height:306.66px" data-shape="group"> <div class="sg" id="s192" data-sgid="Straight Arrow Connector 18" style="z-index:4;left:324.86px;top:176.84px;width:57.91px;height:69.42px" data-pointer-events="none"> <img class="sg" src="C869589.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/C869589.png" id="s192_i" style="z-index:1;left:0px;top:0px;width:57.91px;height:69.42px" > </div> <div class="sg" id="s193" data-sgid="Straight Arrow Connector 17" style="z-index:3;left:271.00px;top:200.58px;width:45.82px;height:45.67px" data-pointer-events="none"> <img class="sg" src="A56B05A9.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/A56B05A9.png" id="s193_i" style="z-index:1;left:0px;top:0px;width:45.82px;height:45.67px" > </div> <div class="sg" id="s194" data-sgid="Straight Arrow Connector 16" style="z-index:2;left:384.59px;top:135.70px;width:34.18px;height:62.58px" data-pointer-events="none"> <img class="sg" src="95C0CD0.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/95C0CD0.png" id="s194_i" style="z-index:1;left:0px;top:0px;width:34.18px;height:62.58px" > </div> <div class="sg" id="s195" data-sgid="Group 1" style="z-index:1;left:-0.56px;top:-0.52px;width:454.22px;height:320.31px"> <div id="s195_t" class="sg" style="z-index:2;left:0px;top:0px;width:454.22px;height:320.31px;"><div><p><span data-textwidth="16.32" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:421.85px;top:276.44px;">b</span></p></div></div><img class="sg" src="7302000C.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/7302000C.png" id="s195_i" style="z-index:1;left:0px;top:0px;width:454.22px;height:320.31px" > </div> </div> <div class="sg" id="s186" data-sgid="Group 19" style="z-index:3;left:144.00px;top:102.00px;width:456.44px;height:288.71px" data-shape="group"> <div class="sg" id="s188" data-sgid="Straight Arrow Connector 14" style="z-index:4;left:264.99px;top:200.55px;width:45.82px;height:45.70px" data-pointer-events="none"> <img class="sg" src="47AF46D.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/47AF46D.png" id="s188_i" style="z-index:1;left:0px;top:0px;width:45.82px;height:45.70px" > </div> <div class="sg" id="s189" data-sgid="Straight Arrow Connector 13" style="z-index:3;left:384.59px;top:129.69px;width:34.18px;height:62.61px" data-pointer-events="none"> <img class="sg" src="5812EE2E.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/5812EE2E.png" id="s189_i" style="z-index:1;left:0px;top:0px;width:34.18px;height:62.61px" > </div> <div class="sg" id="s190" data-sgid="Straight Arrow Connector 12" style="z-index:2;left:312.74px;top:170.82px;width:46.05px;height:57.45px" data-pointer-events="none"> <img class="sg" src="67151DB6.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/67151DB6.png" id="s190_i" style="z-index:1;left:0px;top:0px;width:46.05px;height:57.45px" > </div> <div class="sg" id="s191" data-sgid="Group 2" style="z-index:1;left:-0.56px;top:-0.55px;width:459.52px;height:302.33px"> <div id="s191_t" class="sg" style="z-index:2;left:0px;top:0px;width:459.52px;height:302.33px;"><div><p><span data-textwidth="16.44" class="sg nowrap f1" style="z-index:2;color:#FF6600;font-size:133%; left:427.86px;top:258.47px;">a</span></p></div></div><img class="sg" src="A3875B72.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/A3875B72.png" id="s191_i" style="z-index:1;left:0px;top:0px;width:459.52px;height:302.33px" > </div> </div> <div class="sg" id="s185" data-sgid="TextBox 4" style="z-index:2;left:59.50px;top:398.87px;width:606.55px;height:123.15px" data-valign="top"> <div id="s185_t" class="sg" style="z-index:2;left:-6.60px;top:-2.90px;width:618.05px;height:135.04px;"><div><p para="{al:4}"><span data-textwidth="591.46" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:106%; left:14.31px;top:9.20px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">At<span style="letter-spacing:6.69px">&nbsp;</span>this</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.80px">&nbsp;</span>subacute</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.81px">&nbsp;</span>phase,</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.80px">&nbsp;</span>areas</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.92px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.81px">&nbsp;</span>cavitation</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.91px">&nbsp;</span>(blue</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.80px">&nbsp;</span>arrow)</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.80px">&nbsp;</span>are</span></span><span data-textwidth="451.28" class="sg nowrap f1" style="z-index:12;color:#FFFFFF;font-size:106%; left:14.31px;top:32.00px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">common as the coagulation necrosis establishes.</span></span></p><p para="{al:4}"><span data-textwidth="591.46" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-size:106%; left:14.31px;top:54.81px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">The<span style="letter-spacing:5.96px">&nbsp;</span>infarcted</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.08px">&nbsp;</span>area</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.08px">&nbsp;</span>is</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.09px">&nbsp;</span>walled</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.20px">&nbsp;</span>off</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.08px">&nbsp;</span>by</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.21px">&nbsp;</span>a</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.08px">&nbsp;</span>thinner</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.84px">&nbsp;</span>solid</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.08px">&nbsp;</span>rim</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.21px">&nbsp;</span>(yellow</span></span><span data-textwidth="591.46" class="sg nowrap f1" style="z-index:31;color:#FFFFFF;font-size:106%; left:14.31px;top:77.61px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">arrows).<span style="letter-spacing:6.08px">&nbsp;</span>The</span><span class="f2" style="font-style:italic; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.96px">&nbsp;</span>bubbly</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.84px">&nbsp;</span>lung</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.48px">&nbsp;</span>sign</span></span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.84px">&nbsp;</span>is</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.96px">&nbsp;</span>still</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.97px">&nbsp;</span>present</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.08px">&nbsp;</span>(orange</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.97px">&nbsp;</span>arrow</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.08px">&nbsp;</span>on</span></span><span data-textwidth="505.40" class="sg nowrap f1" style="z-index:43;color:#FFFFFF;font-size:106%; left:14.31px;top:100.42px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">figure b) and characterizes the infarcted parenchyma.</span></span></p></div></div></div> <div class="sg" id="s198" data-sgid="Rectangle 4" style="z-index:5;left:173.43px;top:35.49px;width:353.01px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s198_t" class="sg" style="z-index:2;left:-22.91px;top:-2.50px;width:395.71px;height:98.92px;"><div><p para="{al:2}"><span data-textwidth="336.54" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.31px;top:19.38px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Teaching points</span></span></p></div></div></div> <div class="sg" id="s196" data-sgid="Group 3" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s196_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s197" data-sgid="Rectangle 2" style="z-index:4;left:41.49px;top:149.42px;width:636.54px;height:251.38px" data-valign="top" data-pointer-events="none"> <div id="s197_t" class="sg" style="z-index:2;left:-9.94px;top:-2.16px;width:654.52px;height:262.27px;"><div><p para="{al:4,bl:{nbr:1,val:1,st:3}}"><span data-textwidth="621.46" class="sg nowrap f1" style="z-index:2;color:#E46C0A;font-size:133%; left:17.66px;top:11.01px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">1.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.48px">&nbsp;</span>Pulmonary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.33px">&nbsp;</span>infarcts</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>may</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>be</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>the</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>only</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>indirect</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.44px">&nbsp;</span>sign</span></span></span><span data-textwidth="585.47" class="sg nowrap f1" style="z-index:11;color:#FFFFFF;font-size:133%; left:53.66px;top:45.58px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">on<span style="letter-spacing:25.04px">&nbsp;</span>Non</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">-Contrast<span style="letter-spacing:25.17px">&nbsp;</span>Chest</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:25.16px">&nbsp;</span>CT</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:25.17px">&nbsp;</span>indicating</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:25.17px">&nbsp;</span>the</span></span><span data-textwidth="390.19" class="sg nowrap f1" style="z-index:19;color:#FFFFFF;font-size:133%; left:53.66px;top:80.15px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">presence of pulmonary embolism</span></span></p><p para="{al:4,bl:{nbr:2,val:1,st:3}}"></p><p para="{al:4,bl:{nbr:2,val:1,st:3}}"><span data-textwidth="621.46" class="sg nowrap f1" style="z-index:23;color:#E46C0A;font-size:133%; left:17.66px;top:149.29px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">2.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.48px">&nbsp;</span>Identification</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.56px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.57px">&nbsp;</span>the</span></span><span class="f2" style="font-style:italic; color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.67px">&nbsp;</span>bubbly</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.57px">&nbsp;</span>lung</span></span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.56px">&nbsp;</span>sign</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.44px">&nbsp;</span>in</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.44px">&nbsp;</span>peripheral</span></span></span><span data-textwidth="585.46" class="sg nowrap f1" style="z-index:32;color:#FFFFFF;font-size:133%; left:53.66px;top:183.85px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">opacities<span style="letter-spacing:15.45px">&nbsp;</span>aids</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:15.44px">&nbsp;</span>in</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:15.56px">&nbsp;</span>the</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:15.56px">&nbsp;</span>suspicion</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:15.56px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:15.57px">&nbsp;</span>pulmonary</span></span><span data-textwidth="508.65" class="sg nowrap f1" style="z-index:39;color:#FFFFFF;font-size:133%; left:53.66px;top:218.42px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">ischemia/infarction due to undiagnosed PE.</span></span></p></div></div></div> <div class="sg" id="s201" data-sgid="Rectangle 7" style="z-index:5;left:173.43px;top:35.49px;width:353.01px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s201_t" class="sg" style="z-index:2;left:-22.91px;top:-2.50px;width:395.71px;height:98.92px;"><div><p para="{al:2}"><span data-textwidth="336.54" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.31px;top:19.38px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Teaching points</span></span></p></div></div></div> <div class="sg" id="s199" data-sgid="Group 3" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s199_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s200" data-sgid="Rectangle 2" style="z-index:4;left:35.51px;top:149.42px;width:636.51px;height:321.05px" data-valign="top" data-pointer-events="none"> <div id="s200_t" class="sg" style="z-index:2;left:-9.97px;top:-2.16px;width:654.52px;height:331.35px;"><div><p para="{al:4,bl:{nbr:3,val:3,st:3}}"><span data-textwidth="621.46" class="sg nowrap f1" style="z-index:2;color:#E46C0A;font-size:133%; left:17.67px;top:11.01px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">3.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.48px">&nbsp;</span>Review</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.53px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>the</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.40px">&nbsp;</span>images</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.41px">&nbsp;</span>in</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>both</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>lung</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>and</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>soft</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:4.52px">&nbsp;</span>tissue</span></span></span><span data-textwidth="585.46" class="sg nowrap f1" style="z-index:13;color:#FFFFFF;font-size:133%; left:53.67px;top:45.58px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">windows<span style="letter-spacing:5.96px">&nbsp;</span>aids</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.72px">&nbsp;</span>in</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.85px">&nbsp;</span>identification</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.95px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.97px">&nbsp;</span>the</span><span class="f2" style="font-style:italic; "><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:5.96px">&nbsp;</span>bubbly</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:6.08px">&nbsp;</span>lung</span></span></span><span data-textwidth="51.61" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-size:133%; left:53.67px;top:80.15px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">sign.</span></span></p><p para="{al:4,bl:{nbr:4,val:3,st:3}}"></p><p para="{al:4,bl:{nbr:4,val:3,st:3}}"><span data-textwidth="621.47" class="sg nowrap f1" style="z-index:23;color:#E46C0A;font-size:133%; left:17.67px;top:149.29px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">4.</span><span style="color:#FFFFFF;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:11.48px">&nbsp;</span>The</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>presence</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.69px">&nbsp;</span>secondary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>imaging</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>signs</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>and</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:3.68px">&nbsp;</span>risk</span></span></span><span data-textwidth="585.58" class="sg nowrap f1" style="z-index:32;color:#FFFFFF;font-size:133%; left:53.67px;top:183.85px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">factors<span style="letter-spacing:20.01px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.13px">&nbsp;</span>pulmonary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.00px">&nbsp;</span>infarcts</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.13px">&nbsp;</span>should</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:20.13px">&nbsp;</span>further</span></span><span data-textwidth="585.46" class="sg nowrap f1" style="z-index:38;color:#FFFFFF;font-size:133%; left:53.67px;top:218.42px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">increase<span style="letter-spacing:7.52px">&nbsp;</span>the</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.64px">&nbsp;</span>suspicion</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.64px">&nbsp;</span>of</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.65px">&nbsp;</span>pulmonary</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.52px">&nbsp;</span>infarct</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:7.64px">&nbsp;</span>and</span></span><span data-textwidth="585.46" class="sg nowrap f1" style="z-index:45;color:#FFFFFF;font-size:133%; left:53.67px;top:252.99px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">pulmonary<span style="letter-spacing:37.89px">&nbsp;</span>embolism,</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:38.01px">&nbsp;</span>and</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:38.00px">&nbsp;</span>prompt</span><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)"><span style="letter-spacing:38.01px">&nbsp;</span>the</span></span><span data-textwidth="489.20" class="sg nowrap f1" style="z-index:50;color:#FFFFFF;font-size:133%; left:53.67px;top:287.56px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">recommendation for confirmatory studies.</span></span></p></div></div></div> <div class="sg" id="s204" data-sgid="Rectangle 4" style="z-index:5;left:274.67px;top:-2.41px;width:181.47px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s204_t" class="sg" style="z-index:2;left:-22.91px;top:-2.50px;width:224.18px;height:98.81px;"><div><p para="{al:2}"><span data-textwidth="164.91" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.37px;top:19.35px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Sources</span></span></p></div></div></div> <div class="sg" id="s202" data-sgid="Group 3" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s202_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s203" data-sgid="Rectangle 2" style="z-index:4;left:35.51px;top:71.46px;width:648.52px;height:434.87px" data-valign="top" data-pointer-events="none"> <div id="s203_t" class="sg" style="z-index:2;left:-3.25px;top:0.00px;width:653.56px;height:436.06px;"><div><p para="{al:4,bl:{nbr:1,val:1,st:3}}"><span data-textwidth="633.46" class="sg nowrap f1" style="z-index:2;color:#E46C0A;font-size:78%; left:10.95px;top:6.36px;">1.<span style="color:#FFFFFF;"><span style="letter-spacing:22.52px">&nbsp;</span>Silverstein MD, Heit JA, Mohr DN, Petterson TM, O&#39;Fallon WM, Melton LJ, 3rd. Trends in the</span></span><span data-textwidth="597.46" class="sg nowrap f1" style="z-index:21;color:#FFFFFF;font-size:78%; left:46.95px;top:26.52px;">incidence<span style="letter-spacing:5.01px">&nbsp;</span>of<span style="letter-spacing:5.24px">&nbsp;</span>deep<span style="letter-spacing:5.12px">&nbsp;</span>vein<span style="letter-spacing:5.24px">&nbsp;</span>thrombosis<span style="letter-spacing:5.25px">&nbsp;</span>and<span style="letter-spacing:5.24px">&nbsp;</span>pulmonary<span style="letter-spacing:5.24px">&nbsp;</span>embolism:<span style="letter-spacing:5.24px">&nbsp;</span>a<span style="letter-spacing:5.24px">&nbsp;</span>25-year<span style="letter-spacing:5.12px">&nbsp;</span>population-</span><span data-textwidth="422.11" class="sg nowrap f1" style="z-index:36;color:#FFFFFF;font-size:78%; left:46.95px;top:46.69px;">based study. Archives of internal medicine. 1998;158(6):585-93.</span></p><p para="{al:4,bl:{nbr:2,val:1,st:3}}"><span data-textwidth="633.46" class="sg nowrap f1" style="z-index:55;color:#E46C0A;font-size:78%; left:10.95px;top:66.85px;">2.<span style="color:#FFFFFF;"><span style="letter-spacing:22.52px">&nbsp;</span>Lucassen<span style="letter-spacing:8.01px">&nbsp;</span>W,<span style="letter-spacing:8.00px">&nbsp;</span>Geersing<span style="letter-spacing:8.00px">&nbsp;</span>GJ,<span style="letter-spacing:8.01px">&nbsp;</span>Erkens<span style="letter-spacing:8.00px">&nbsp;</span>PM,<span style="letter-spacing:8.00px">&nbsp;</span>et<span style="letter-spacing:8.01px">&nbsp;</span>al.<span style="letter-spacing:8.00px">&nbsp;</span>Clinical<span style="letter-spacing:8.00px">&nbsp;</span>decision<span style="letter-spacing:8.00px">&nbsp;</span>rules<span style="letter-spacing:8.00px">&nbsp;</span>for<span style="letter-spacing:7.88px">&nbsp;</span>excluding</span></span><span data-textwidth="582.94" class="sg nowrap f1" style="z-index:70;color:#FFFFFF;font-size:78%; left:46.95px;top:87.01px;">pulmonary embolism: a meta-analysis. Annals of internal medicine. 2011;155(7):448-60.</span></p><p para="{al:4,bl:{nbr:3,val:1,st:3}}"><span data-textwidth="633.47" class="sg nowrap f1" style="z-index:94;color:#E46C0A;font-size:78%; left:10.95px;top:107.18px;">3.<span style="color:#FFFFFF;"><span style="letter-spacing:22.52px">&nbsp;</span>Remy-Jardin<span style="letter-spacing:6.32px">&nbsp;</span>M,<span style="letter-spacing:6.32px">&nbsp;</span>Pistolesi<span style="letter-spacing:6.32px">&nbsp;</span>M,<span style="letter-spacing:6.33px">&nbsp;</span>Goodman<span style="letter-spacing:6.32px">&nbsp;</span>LR,<span style="letter-spacing:6.44px">&nbsp;</span>et<span style="letter-spacing:6.33px">&nbsp;</span>al.<span style="letter-spacing:6.44px">&nbsp;</span>Management<span style="letter-spacing:6.32px">&nbsp;</span>of<span style="letter-spacing:6.32px">&nbsp;</span>suspected<span style="letter-spacing:6.33px">&nbsp;</span>acute</span></span><span data-textwidth="597.58" class="sg nowrap f1" style="z-index:110;color:#FFFFFF;font-size:78%; left:46.95px;top:127.34px;">pulmonary<span style="letter-spacing:5.01px">&nbsp;</span>embolism<span style="letter-spacing:5.00px">&nbsp;</span>in<span style="letter-spacing:5.12px">&nbsp;</span>the<span style="letter-spacing:5.13px">&nbsp;</span>era<span style="letter-spacing:5.12px">&nbsp;</span>of<span style="letter-spacing:5.12px">&nbsp;</span>CT<span style="letter-spacing:5.13px">&nbsp;</span>angiography:<span style="letter-spacing:5.25px">&nbsp;</span>a<span style="letter-spacing:5.12px">&nbsp;</span>statement<span style="letter-spacing:5.12px">&nbsp;</span>from<span style="letter-spacing:5.12px">&nbsp;</span>the<span style="letter-spacing:5.12px">&nbsp;</span>Fleischner</span><span data-textwidth="260.33" class="sg nowrap f1" style="z-index:124;color:#FFFFFF;font-size:78%; left:46.95px;top:147.51px;">Society. Radiology. 2007;245(2):315-29.</span></p><p para="{al:4,bl:{nbr:4,val:1,st:3}}"><span data-textwidth="633.46" class="sg nowrap f1" style="z-index:139;color:#E46C0A;font-size:78%; left:10.95px;top:167.67px;">4.<span style="color:#FFFFFF;"><span style="letter-spacing:22.52px">&nbsp;</span>Balakrishnan<span style="letter-spacing:8.01px">&nbsp;</span>J,<span style="letter-spacing:8.12px">&nbsp;</span>Meziane<span style="letter-spacing:7.88px">&nbsp;</span>MA,<span style="letter-spacing:8.01px">&nbsp;</span>Siegelman<span style="letter-spacing:8.00px">&nbsp;</span>SS,<span style="letter-spacing:8.01px">&nbsp;</span>Fishman<span style="letter-spacing:8.00px">&nbsp;</span>EK.<span style="letter-spacing:8.00px">&nbsp;</span>Pulmonary<span style="letter-spacing:7.89px">&nbsp;</span>infarction:<span style="letter-spacing:8.00px">&nbsp;</span>CT</span></span><span data-textwidth="597.46" class="sg nowrap f1" style="z-index:153;color:#FFFFFF;font-size:78%; left:46.95px;top:187.84px;">appearance<span style="letter-spacing:5.49px">&nbsp;</span>with<span style="letter-spacing:5.60px">&nbsp;</span>pathologic<span style="letter-spacing:5.49px">&nbsp;</span>correlation.<span style="letter-spacing:5.60px">&nbsp;</span>Journal<span style="letter-spacing:5.60px">&nbsp;</span>of<span style="letter-spacing:5.61px">&nbsp;</span>computer<span style="letter-spacing:5.48px">&nbsp;</span>assisted<span style="letter-spacing:5.72px">&nbsp;</span>tomography.</span><span data-textwidth="111.62" class="sg nowrap f1" style="z-index:164;color:#FFFFFF;font-size:78%; left:46.95px;top:208.00px;">1989;13(6):941-5.</span></p><p para="{al:4,bl:{nbr:5,val:1,st:3}}"><span data-textwidth="633.46" class="sg nowrap f1" style="z-index:175;color:#E46C0A;font-size:78%; left:10.95px;top:228.17px;">5.<span style="color:#FFFFFF;"><span style="letter-spacing:22.52px">&nbsp;</span>Coche<span style="letter-spacing:3.68px">&nbsp;</span>EE,<span style="letter-spacing:3.81px">&nbsp;</span>Muller<span style="letter-spacing:3.67px">&nbsp;</span>NL,<span style="letter-spacing:3.81px">&nbsp;</span>Kim<span style="letter-spacing:3.80px">&nbsp;</span>KI,<span style="letter-spacing:3.81px">&nbsp;</span>Wiggs<span style="letter-spacing:3.79px">&nbsp;</span>BR,<span style="letter-spacing:3.81px">&nbsp;</span>Mayo<span style="letter-spacing:3.80px">&nbsp;</span>JR.<span style="letter-spacing:3.80px">&nbsp;</span>Acute<span style="letter-spacing:3.80px">&nbsp;</span>pulmonary<span style="letter-spacing:3.80px">&nbsp;</span>embolism:<span style="letter-spacing:3.80px">&nbsp;</span>ancillary</span></span><span data-textwidth="332.22" class="sg nowrap f1" style="z-index:192;color:#FFFFFF;font-size:78%; left:46.95px;top:248.33px;">findings at spiral CT. Radiology. 1998;207(3):753-8.</span></p><p para="{al:4,bl:{nbr:6,val:1,st:3}}"><span data-textwidth="633.46" class="sg nowrap f1" style="z-index:210;color:#E46C0A;font-size:78%; left:10.95px;top:268.50px;">6.<span style="color:#FFFFFF;"><span style="letter-spacing:22.52px">&nbsp;</span>He<span style="letter-spacing:5.25px">&nbsp;</span>H,<span style="letter-spacing:5.24px">&nbsp;</span>Stein<span style="letter-spacing:5.12px">&nbsp;</span>MW,<span style="letter-spacing:5.35px">&nbsp;</span>Zalta<span style="letter-spacing:5.24px">&nbsp;</span>B,<span style="letter-spacing:5.24px">&nbsp;</span>Haramati<span style="letter-spacing:5.25px">&nbsp;</span>LB.<span style="letter-spacing:5.24px">&nbsp;</span>Pulmonary<span style="letter-spacing:5.12px">&nbsp;</span>infarction:<span style="letter-spacing:5.24px">&nbsp;</span>spectrum<span style="letter-spacing:5.25px">&nbsp;</span>of<span style="letter-spacing:5.24px">&nbsp;</span>findings<span style="letter-spacing:5.12px">&nbsp;</span>on</span></span><span data-textwidth="459.92" class="sg nowrap f1" style="z-index:227;color:#FFFFFF;font-size:78%; left:46.95px;top:288.66px;">multidetector helical CT. Journal of thoracic imaging. 2006;21(1):1-7.</span></p><p para="{al:4,bl:{nbr:7,val:1,st:3}}"><span data-textwidth="633.46" class="sg nowrap f1" style="z-index:247;color:#E46C0A;font-size:78%; left:10.95px;top:308.82px;">7.<span style="color:#FFFFFF;"><span style="letter-spacing:22.52px">&nbsp;</span>Johnson<span style="letter-spacing:4.16px">&nbsp;</span>PT,<span style="letter-spacing:4.41px">&nbsp;</span>Wechsler<span style="letter-spacing:4.16px">&nbsp;</span>RJ,<span style="letter-spacing:4.28px">&nbsp;</span>Salazar<span style="letter-spacing:4.04px">&nbsp;</span>AM,<span style="letter-spacing:4.17px">&nbsp;</span>Fisher<span style="letter-spacing:4.03px">&nbsp;</span>AM,<span style="letter-spacing:4.29px">&nbsp;</span>Nazarian<span style="letter-spacing:4.28px">&nbsp;</span>LN,<span style="letter-spacing:4.29px">&nbsp;</span>Steiner<span style="letter-spacing:4.15px">&nbsp;</span>RM.<span style="letter-spacing:4.28px">&nbsp;</span>Spiral<span style="letter-spacing:4.16px">&nbsp;</span>CT<span style="letter-spacing:4.16px">&nbsp;</span>of</span></span><span data-textwidth="597.46" class="sg nowrap f1" style="z-index:264;color:#FFFFFF;font-size:78%; left:46.95px;top:328.99px;">acute<span style="letter-spacing:4.88px">&nbsp;</span>pulmonary<span style="letter-spacing:5.00px">&nbsp;</span>thromboembolism:<span style="letter-spacing:5.01px">&nbsp;</span>evaluation<span style="letter-spacing:5.00px">&nbsp;</span>of<span style="letter-spacing:5.00px">&nbsp;</span>pleuroparenchymal<span style="letter-spacing:5.01px">&nbsp;</span>abnormalities.</span><span data-textwidth="409.99" class="sg nowrap f1" style="z-index:273;color:#FFFFFF;font-size:78%; left:46.95px;top:349.15px;">Journal of computer assisted tomography. 1999;23(3):369-73.</span></p><p para="{al:4,bl:{nbr:8,val:1,st:3}}"><span data-textwidth="633.46" class="sg nowrap f1" style="z-index:290;color:#E46C0A;font-size:78%; left:10.95px;top:369.32px;">8.<span style="color:#FFFFFF;"><span style="letter-spacing:22.52px">&nbsp;</span>Ren<span style="letter-spacing:4.29px">&nbsp;</span>H,<span style="letter-spacing:4.28px">&nbsp;</span>Kuhlman<span style="letter-spacing:4.16px">&nbsp;</span>JE,<span style="letter-spacing:4.29px">&nbsp;</span>Hruban<span style="letter-spacing:4.28px">&nbsp;</span>RH,<span style="letter-spacing:4.28px">&nbsp;</span>Fishman<span style="letter-spacing:4.28px">&nbsp;</span>EK,<span style="letter-spacing:4.41px">&nbsp;</span>Wheeler<span style="letter-spacing:4.16px">&nbsp;</span>PS,<span style="letter-spacing:4.28px">&nbsp;</span>Hutchins<span style="letter-spacing:4.28px">&nbsp;</span>GM.<span style="letter-spacing:4.29px">&nbsp;</span>CT<span style="letter-spacing:4.28px">&nbsp;</span>of<span style="letter-spacing:4.16px">&nbsp;</span>inflation-</span></span><span data-textwidth="597.46" class="sg nowrap f1" style="z-index:308;color:#FFFFFF;font-size:78%; left:46.95px;top:389.48px;">fixed<span style="letter-spacing:5.84px">&nbsp;</span>lungs:<span style="letter-spacing:6.08px">&nbsp;</span>wedge-shaped<span style="letter-spacing:6.08px">&nbsp;</span>density<span style="letter-spacing:6.08px">&nbsp;</span>and<span style="letter-spacing:5.96px">&nbsp;</span>vascular<span style="letter-spacing:5.96px">&nbsp;</span>sign<span style="letter-spacing:5.97px">&nbsp;</span>in<span style="letter-spacing:6.08px">&nbsp;</span>the<span style="letter-spacing:6.09px">&nbsp;</span>diagnosis<span style="letter-spacing:5.96px">&nbsp;</span>of<span style="letter-spacing:5.96px">&nbsp;</span>infarction.</span><span data-textwidth="394.39" class="sg nowrap f1" style="z-index:324;color:#FFFFFF;font-size:78%; left:46.95px;top:409.65px;">Journal of computer assisted tomography. 1990;14(1):82-6.</span></p></div></div></div> <div class="sg" id="s207" data-sgid="Rectangle 4" style="z-index:5;left:274.67px;top:-2.41px;width:181.47px;height:74.72px" data-valign="top" data-pointer-events="none"> <div id="s207_t" class="sg" style="z-index:2;left:-22.91px;top:-2.50px;width:224.18px;height:98.81px;"><div><p para="{al:2}"><span data-textwidth="164.91" class="sg nowrap f1" style="z-index:2;color:#D3D300;font-size:244%; left:31.37px;top:19.35px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Sources</span></span></p></div></div></div> <div class="sg" id="s205" data-sgid="Group 3" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s205_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s206" data-sgid="Rectangle 2" style="z-index:4;left:35.51px;top:101.45px;width:642.52px;height:353.42px" data-valign="top" data-pointer-events="none"> <div id="s206_t" class="sg" style="z-index:2;left:-3.25px;top:0.00px;width:647.59px;height:355.35px;"><div><p para="{al:4,bl:{nbr:9,val:9,st:3}}"><span data-textwidth="627.46" class="sg nowrap f1" style="z-index:2;color:#E46C0A;font-size:78%; left:10.95px;top:6.37px;">9.<span style="color:#FFFFFF;"><span style="letter-spacing:22.52px">&nbsp;</span>Shah<span style="letter-spacing:3.92px">&nbsp;</span>AA,<span style="letter-spacing:3.92px">&nbsp;</span>Davis<span style="letter-spacing:3.92px">&nbsp;</span>SD,<span style="letter-spacing:3.93px">&nbsp;</span>Gamsu<span style="letter-spacing:3.92px">&nbsp;</span>G,<span style="letter-spacing:3.92px">&nbsp;</span>Intriere<span style="letter-spacing:3.92px">&nbsp;</span>L.<span style="letter-spacing:3.92px">&nbsp;</span>Parenchymal<span style="letter-spacing:3.92px">&nbsp;</span>and<span style="letter-spacing:3.92px">&nbsp;</span>pleural<span style="letter-spacing:3.92px">&nbsp;</span>findings<span style="letter-spacing:3.80px">&nbsp;</span>in<span style="letter-spacing:3.80px">&nbsp;</span>patients</span></span><span data-textwidth="591.46" class="sg nowrap f1" style="z-index:18;color:#FFFFFF;font-size:78%; left:46.95px;top:26.54px;">with and patients without acute pulmonary embolism detected at spiral CT. Radiology.</span><span data-textwidth="127.22" class="sg nowrap f1" style="z-index:32;color:#FFFFFF;font-size:78%; left:46.95px;top:46.70px;">1999;211(1):147-53.</span></p><p para="{al:4,bl:{nbr:10,val:9,st:3}}"><span data-textwidth="627.46" class="sg nowrap f1" style="z-index:43;color:#E46C0A;font-size:78%; left:10.95px;top:66.87px;">10.<span style="color:#FFFFFF;"><span style="letter-spacing:14.84px">&nbsp;</span>He<span style="letter-spacing:4.77px">&nbsp;</span>H,<span style="letter-spacing:4.88px">&nbsp;</span>Stein<span style="letter-spacing:4.64px">&nbsp;</span>MW,<span style="letter-spacing:4.87px">&nbsp;</span>Zalta<span style="letter-spacing:4.76px">&nbsp;</span>B,<span style="letter-spacing:4.76px">&nbsp;</span>Haramati<span style="letter-spacing:4.76px">&nbsp;</span>LB.<span style="letter-spacing:4.76px">&nbsp;</span>Pulmonary<span style="letter-spacing:4.64px">&nbsp;</span>infarction:<span style="letter-spacing:4.76px">&nbsp;</span>spectrum<span style="letter-spacing:4.77px">&nbsp;</span>of<span style="letter-spacing:4.76px">&nbsp;</span>findings<span style="letter-spacing:4.76px">&nbsp;</span>on</span></span><span data-textwidth="459.92" class="sg nowrap f1" style="z-index:60;color:#FFFFFF;font-size:78%; left:46.95px;top:87.03px;">multidetector helical CT. Journal of thoracic imaging. 2006;21(1):1-7.</span></p><p para="{al:4,bl:{nbr:11,val:9,st:3}}"><span data-textwidth="627.47" class="sg nowrap f1" style="z-index:80;color:#E46C0A;font-size:78%; left:10.95px;top:107.20px;">11.<span style="color:#FFFFFF;"><span style="letter-spacing:14.84px">&nbsp;</span>Deffebach ME, Charan NB, Lakshminarayan S, Butler J. The bronchial circulation. Small,</span></span><span data-textwidth="591.46" class="sg nowrap f1" style="z-index:95;color:#FFFFFF;font-size:78%; left:46.95px;top:127.36px;">but<span style="letter-spacing:9.09px">&nbsp;</span>a<span style="letter-spacing:9.08px">&nbsp;</span>vital<span style="letter-spacing:9.09px">&nbsp;</span>attribute<span style="letter-spacing:9.08px">&nbsp;</span>of<span style="letter-spacing:9.08px">&nbsp;</span>the<span style="letter-spacing:9.09px">&nbsp;</span>lung.<span style="letter-spacing:9.09px">&nbsp;</span>The<span style="letter-spacing:9.08px">&nbsp;</span>American<span style="letter-spacing:9.09px">&nbsp;</span>review<span style="letter-spacing:8.96px">&nbsp;</span>of<span style="letter-spacing:9.08px">&nbsp;</span>respiratory<span style="letter-spacing:9.08px">&nbsp;</span>disease.</span><span data-textwidth="127.22" class="sg nowrap f1" style="z-index:110;color:#FFFFFF;font-size:78%; left:46.95px;top:147.53px;">1987;135(2):463-81.</span></p><p para="{al:4,bl:{nbr:12,val:9,st:3}}"><span data-textwidth="627.46" class="sg nowrap f1" style="z-index:121;color:#E46C0A;font-size:78%; left:10.95px;top:167.69px;">12.<span style="color:#FFFFFF;"><span style="letter-spacing:14.84px">&nbsp;</span>Dalen<span style="letter-spacing:5.48px">&nbsp;</span>JE,<span style="letter-spacing:5.49px">&nbsp;</span>Haffajee<span style="letter-spacing:5.48px">&nbsp;</span>CI,<span style="letter-spacing:5.48px">&nbsp;</span>Alpert<span style="letter-spacing:5.48px">&nbsp;</span>JS,<span style="letter-spacing:5.48px">&nbsp;</span>3rd,<span style="letter-spacing:5.49px">&nbsp;</span>Howe<span style="letter-spacing:5.48px">&nbsp;</span>JP,<span style="letter-spacing:5.48px">&nbsp;</span>Ockene<span style="letter-spacing:5.36px">&nbsp;</span>IS,<span style="letter-spacing:5.48px">&nbsp;</span>Paraskos<span style="letter-spacing:5.49px">&nbsp;</span>JA.<span style="letter-spacing:5.48px">&nbsp;</span>Pulmonary</span></span><span data-textwidth="591.46" class="sg nowrap f1" style="z-index:138;color:#FFFFFF;font-size:78%; left:46.95px;top:187.85px;">embolism, pulmonary hemorrhage and pulmonary infarction. The New England journal</span><span data-textwidth="224.20" class="sg nowrap f1" style="z-index:149;color:#FFFFFF;font-size:78%; left:46.95px;top:208.02px;">of medicine. 1977;296(25):1431-5.</span></p><p para="{al:4,bl:{nbr:13,val:9,st:3}}"><span data-textwidth="627.46" class="sg nowrap f1" style="z-index:163;color:#E46C0A;font-size:78%; left:10.95px;top:228.18px;">13.<span style="color:#FFFFFF;"><span style="letter-spacing:14.84px">&nbsp;</span>Tsao<span style="letter-spacing:8.48px">&nbsp;</span>MS,<span style="letter-spacing:8.61px">&nbsp;</span>Schraufnagel<span style="letter-spacing:8.47px">&nbsp;</span>D,<span style="letter-spacing:8.73px">&nbsp;</span>Wang<span style="letter-spacing:8.60px">&nbsp;</span>NS.<span style="letter-spacing:8.60px">&nbsp;</span>Pathogenesis<span style="letter-spacing:8.49px">&nbsp;</span>of<span style="letter-spacing:8.48px">&nbsp;</span>pulmonary<span style="letter-spacing:8.48px">&nbsp;</span>infarction.<span style="letter-spacing:8.60px">&nbsp;</span>The</span></span><span data-textwidth="336.54" class="sg nowrap f1" style="z-index:177;color:#FFFFFF;font-size:78%; left:46.95px;top:248.35px;">American journal of medicine. 1982;72(4):599-606.</span></p><p para="{al:4,bl:{nbr:14,val:9,st:3}}"><span data-textwidth="627.46" class="sg nowrap f1" style="z-index:193;color:#E46C0A;font-size:78%; left:10.95px;top:268.51px;">14.<span style="color:#FFFFFF;"><span style="letter-spacing:14.84px">&nbsp;</span>Yousem<span style="letter-spacing:5.00px">&nbsp;</span>SA.<span style="letter-spacing:5.00px">&nbsp;</span>The<span style="letter-spacing:5.12px">&nbsp;</span>surgical<span style="letter-spacing:4.88px">&nbsp;</span>pathology<span style="letter-spacing:5.01px">&nbsp;</span>of<span style="letter-spacing:4.88px">&nbsp;</span>pulmonary<span style="letter-spacing:4.88px">&nbsp;</span>infarcts:<span style="letter-spacing:5.00px">&nbsp;</span>Diagnostic<span style="letter-spacing:5.01px">&nbsp;</span>confusion<span style="letter-spacing:5.00px">&nbsp;</span>with</span></span><span data-textwidth="578.50" class="sg nowrap f1" style="z-index:207;color:#FFFFFF;font-size:78%; left:46.95px;top:288.68px;">granulomatous disease, vasculitis, and neoplasia. Modern pathology. 2009;22:679-685</span></p><p para="{al:4,bl:{nbr:15,val:9,st:3}}"><span data-textwidth="627.46" class="sg nowrap f1" style="z-index:224;color:#E46C0A;font-size:78%; left:10.95px;top:308.84px;">15.<span style="color:#FFFFFF;"><span style="letter-spacing:14.84px">&nbsp;</span>Revel<span style="letter-spacing:3.32px">&nbsp;</span>MP,<span style="letter-spacing:3.45px">&nbsp;</span>Triki<span style="letter-spacing:3.44px">&nbsp;</span>R,<span style="letter-spacing:3.44px">&nbsp;</span>Chatellier<span style="letter-spacing:3.32px">&nbsp;</span>G,<span style="letter-spacing:3.45px">&nbsp;</span>et<span style="letter-spacing:3.44px">&nbsp;</span>al.<span style="letter-spacing:3.32px">&nbsp;</span>Is<span style="letter-spacing:3.33px">&nbsp;</span>It<span style="letter-spacing:3.32px">&nbsp;</span>possible<span style="letter-spacing:3.44px">&nbsp;</span>to<span style="letter-spacing:3.44px">&nbsp;</span>recognize<span style="letter-spacing:3.32px">&nbsp;</span>pulmonary<span style="letter-spacing:3.33px">&nbsp;</span>infarction<span style="letter-spacing:3.32px">&nbsp;</span>on</span></span><span data-textwidth="370.50" class="sg nowrap f1" style="z-index:242;color:#FFFFFF;font-size:78%; left:46.95px;top:329.01px;">multisection CT images? Radiology. 2007;244(3):875-82.</span></p></div></div></div> <div class="sg" id="s209" data-sgid="TextBox 1" style="z-index:4;left:29.51px;top:59.49px;width:660.53px;height:138.61px" data-valign="top"> <div id="s209_t" class="sg" style="z-index:2;left:-2.41px;top:-0.60px;width:670.84px;height:151.21px;"><div><p para="{al:2}"><span data-textwidth="632.51" class="sg nowrap f1" style="z-index:2;color:#FFFF00;font-size:156%; left:20.43px;top:13.13px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Pulmonary ischemia and pulmonary infarction </span></span><span data-textwidth="589.30" class="sg nowrap f1" style="z-index:3;color:#FFFF00;font-size:156%; left:42.15px;top:56.82px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">in non-contrast and non-vascular chest CT: </span></span></p><p para="{al:2}"><span data-textwidth="276.65" class="sg nowrap f2" style="z-index:8;color:#FFFF00;font-style:italic; font-size:156%; left:194.58px;top:100.74px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">The bubbly lung sign</span></span></p></div></div></div> <div class="sg" id="s208" data-sgid="Group 3" style="z-index:1;left:23.02px;top:66.33px;width:402.65px;height:396.57px"> <img class="sg" src="FA88E091.png" tppabs="http://ppt.xctmr.com/20160410/CHE14231/FA88E091.png" id="s208_i" style="z-index:1;left:0px;top:0px;width:402.65px;height:396.57px" > </div> <div class="sg" id="s210" data-sgid="Rectangle 2" style="z-index:5;left:119.45px;top:239.38px;width:482.65px;height:251.46px" data-valign="top" data-pointer-events="none"> <div id="s210_t" class="sg" style="z-index:2;left:-5.26px;top:-1.34px;width:491.29px;height:253.53px;"><div><p para="{al:2}"><span data-textwidth="172.11" class="sg nowrap f1" style="z-index:2;color:#FFFFFF;font-size:111%; left:160.90px;top:9.53px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Hannes Kroll, M.D.</span></span></p><p para="{al:2}"><span data-textwidth="191.79" class="sg nowrap f1" style="z-index:3;color:#FFFFFF;font-size:111%; left:151.05px;top:38.34px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Patrick Norton, M.D.</span></span></p><p para="{al:2}"><span data-textwidth="211.84" class="sg nowrap f1" style="z-index:4;color:#FFFFFF;font-size:111%; left:140.97px;top:67.15px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Michael Hanley, M.D. </span></span></p><p para="{al:2}"><span data-textwidth="191.79" class="sg nowrap f1" style="z-index:5;color:#FFFFFF;font-size:111%; left:151.05px;top:95.95px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Juliana Bueno, M.D.</span></span></p><p para="{al:2}"><span data-textwidth="463.28" class="sg nowrap f1" style="z-index:6;color:#FFFFFF;font-size:111%; left:15.31px;top:159.33px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Department of Radiology and Medical Imaging</span></span></p><p para="{al:2}"><span data-textwidth="190.11" class="sg nowrap f1" style="z-index:7;color:#FFFFFF;font-size:111%; left:151.89px;top:188.13px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">University of Virginia</span></span></p><p para="{al:2}"><span data-textwidth="175.11" class="sg nowrap f1" style="z-index:8;color:#FFFFFF;font-size:111%; left:159.34px;top:216.94px;"><span style="text-shadow:-1.48px 1.48px 2.80px rgba(0,0,0,0.40)">Charlottesville, VA</span></span></p></div></div></div>