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once weve traced vessels and I have actually noticed something that looks like a filling defect well we have right here right now I think its important to always check yourself and make sure that what youre seeing is actually likely to be a pulmonary embolism initially to be very kind of to break things down very clearly were looking for filling defects however not every filling defect is a pulmonary embolism it can be changes in flow dynamics it can be technical from streaked artifacts so its very important to not just assume because you see something that looks like a filling the effect that its automatically a PE few things that you can do to help you make that determination one is just kind of scroll back and forth and kind of get a sense for kind of the shape and the other characteristics of what were seeing this looks very convincing also because it looks like its kind of coming back here and filling other pulmonary arterial branches so that can kind of help you a little