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Pre-therapy pulmonary CT angiography demonstrating saddle pulmonary embolism with a high clot burden (a), and normal right-to-left ventricular ratio (0.86) (b). Lung window shows typical COVID-19 pneumonia appearance, including peripheral mixed consolidative and ground-glass opacities with vascular enlargement (black arrow, c). Placement of catheters in the right and left pulmonary arteries for thrombolysis (d).
