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OBJECTIVE Spiral Computed Tomography (CT) allows diagnosis and follow-up in pulmonary embolism (PE). METHODS We studied prospectively with spiral CT 21 patients to evaluate the frequency and the extent of asymptomatic PE in the patients with lower limbs venous thrombosis and no pulmonary symptomatology. RESULTS We observed a asymptomatic PE in 8/21 cases (34%). Extensive pulmonary thrombosis could be observed despite normal presentation. There was no association between the localization of PE topography and, the extent of the lower limb venous thrombosis extent. CONCLUSIONS This study shows about the capability for CT to evaluate PE severity and clinical underestimation PE occurrence.
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