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MediumRespiratoryPulmonary embolism diagnosisca-mccqe1ca-rcpsc-emca-rcpsc-im

A 68-year-old man with a 40 pack-year smoking history presents with pleuritic chest pain and shortness of breath. His Wells score for pulmonary embolism is low, and he has no signs of deep vein thrombosis. Oxygen saturation is 98 percent on room air. What is the most appropriate next investigation according to evidence-based diagnostic strategies?

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