Question

A 50-year-old woman attends A&E with pleuritic chest pain and breathlessness 5 days after starting Tamoxifen for breast cancer. She is tachycardic and has a high Wells score. What is the most appropriate initial imaging investigation?

Accepted Answer

CT pulmonary angiography

Answer

Ventilation-perfusion scan as first-line for all patients

Answer

Transthoracic echocardiogram

Answer

Chest X-ray only

Answer

Coronary angiography

Practice question

A 50-year-old woman attends A&E with pleuritic chest pain and breathlessness 5 days after starting Tamoxifen for breast cancer. She is tachycardic and has a high Wells score. What is the most appropriate initial imaging investigation?