In 32 patients, 58 angiographically proven pulmonary infarcts were followed for 3 months or longer by serial chest radiography.Complete clearing was seen in 29 (50%) of the infarcts on chest radiography.In the other 29 infarcts that left residual findings, linear scars were identified in 1 4, pleural diaphragmatic adhesions in nine, and localized pleural thickening in six; in all cases the features were diminutive when compared with the original abnormality.Follow-up perfusion lung images at similar time intervals to the chest films were available for 44 infarcts. Seven of these showed complete resolution and the other 37 showed a residual but much smaller perfusion defect. None of the patients had known preexisting pulmonary disease. The frequency of permanent radiographic scarring seemed to be the same at all ages.
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