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Pulmonary Embolism with IVC Thrombus In Transit A patient presents with chest pain. Which of the following would most support her diagnosis? Resolution: Pulmonary artery filling defect. These clips demonstrate an IVC thrombus, RV enlargement, McConnell sign, and paradoxical septal motion, all consistent with pulmonary embolus. #Pulmonary #Embolism #IVC #Thrombus #InTransit #clinical #ultrasound #echocardiogram #a4c #mcconnells