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Looking for PE / Aortic dissection in one CT Scan?

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Working in internal medicine in Germany in a middle sized hospital. We get a lot push back from our Radiologists regarding CTs in which we want a double rule out. They always want us to settle on one of both, but often times its not that easy. I know there are triple rule-out protocolls. To me it seems possible to create a protocoll with adequate contrast in pulmonary arch and Aorta. What is your local practice regarding this?

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source https://www.reddit.com/r/Radiology/comments/y6f0p3/looking_for_pe_aortic_dissection_in_one_ct_scan/
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