Large bilateral central pulmonary emboli extending from the lateral aspects of the right and left pulmonary arteries into lobar branches. On the right, there is a 4.2 cm length of clot extending from the right pulmonary artery into the right lower lobe branch and on the left a 2.8 cm length of clot in the left lateral pulmonary artery extending into the lower lobe. Further emboli are seen in the upper lobes right middle and left lingular segmental branches.
There is straightening of the intraventricular septum suggesting that there is right heart strain present. Minor dependent change seen in the lungs bilaterally.