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657, P0.001) and positive D-dimer (OR 1.762, 95% CI 1.011-3.071, P=0.046) were associated with increased odds of PE. In this study, Emergency Department presentation with chest pain, whilst the most common reason to perform a CTPA, resulted in reduced odds with regard to the diagnosis of pulmonary thromboembolism. The use of CTPA in this setting may be rationalised according to other factors such as localised leg pain as a symptom, signs of DVT, increasing age or positive D-dimer. In this study, Emergency Department presentation wit
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