Which of the following diagnostic techniques is most specific for pulmonary embolism
CT pulmonary angiography is the first-line diagnostic test for pulmonary thromboembolism.It has the advantages of visualising the distribution and extent of the emboli,or highlighting an alternative diagnosis,such as consolidation,pneumothorax or aoic dissection.A definitive diagnosis of Pulmonary embolism depends on visualisation of an intraluminal filling defect in more than one projection.Secondary signs of PE include abrupt occlusion("cut off")of vessels,segmental oligemia or avascularity, a prolonged aerial phase with slow filling,and touous,tapering peripheral vessels. Reference:Harrison's Medicine-18th edition,page no:2174;Davidson's Medicine-22nd edition,page no:722.
Pulmonary angiography
Ventilation lung scanning
Perfusion lung scanning
Aerial blood gas analysis
Respiratory system