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CT Pulmonary Angiography with Intravenous Contrast

Published: August 9, 2026Updated: August 16, 2026

A CT scan that uses intravenous contrast to examine the pulmonary arteries, often to look for a blood clot causing a pulmonary embolism.

Quick summary

["This imaging test can identify blood clots and other problems in the arteries carrying blood from the heart to the lungs."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
87840-5
Short code
CTA CA+PA W contr IV
Synonyms
CTA CA+PA W contr IV
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ct-angio
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

CT pulmonary angiography, or CTPA, is an X-ray-based CT scan that creates detailed pictures of the pulmonary arteries. Intravenous contrast is used to make the blood vessels easier to see.

Why might I need this test?

This test is commonly used when a pulmonary embolism is suspected, especially with sudden shortness of breath, chest pain, coughing blood, or a rapid heartbeat. It may also be used to evaluate other abnormalities of the pulmonary blood vessels.

How is the test performed?

An intravenous line is placed in a vein, usually in the arm, and contrast is injected while you lie on a CT scanner. The scanner takes rapid images as the contrast moves through your bloodstream, so it is important to remain still and follow the technologist's instructions.

How do I prepare for the test?

Follow the instructions provided by the imaging center. Fasting is often not required, but your care team may request it for certain situations. Tell the care team about any contrast allergy, kidney disease, pregnancy possibility, or prior contrast reaction before the scan.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The scan may show a blood clot blocking a pulmonary artery, which can confirm a pulmonary embolism. It may also reveal narrowing, aneurysms, or other vascular abnormalities. Results should be interpreted together with symptoms, examination findings, and other tests because some abnormalities may be unrelated to the reason for imaging.

Short name

CT pulmonary angiogram (CTPA)

Frequently asked questions

Does a CT pulmonary angiogram use radiation and contrast?
Yes. It uses X-ray radiation and an injected contrast material to highlight the pulmonary arteries. The benefits and risks are generally outweighed when the test is appropriately ordered.
Is this the same as a routine CT scan of the chest?
No. CT pulmonary angiography is specifically timed to show contrast moving through the pulmonary arteries, making it more useful for evaluating suspected pulmonary embolism.
What should I do if I have an allergy to iodine or contrast?
Tell the imaging team before the test. Some contrast allergies can be managed with medication or other precautions, and the team will determine the safest approach.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy