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MediumRespiratoryPulmonary embolismau-racpau-amc

A 45-year-old woman presents with sudden onset pleuritic chest pain and dyspnoea. She returned from a long-haul flight 3 days ago. Her oxygen saturation is 92% on room air, heart rate 110 beats/min and blood pressure 130/80 mmHg. Clinical probability for pulmonary embolism is high. What is the most appropriate initial imaging investigation?

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