Pulmonary embolism (PE) may present with subtle but specific radiographic clues on chest X -ray. We describe a series of three patients with acute PE demonstrating classical findings, including the Palla’s sign, Hampton ’s hump, and Westermark ’s sign, across varied clinical settings. In all cases, these findings prompted early diagnostic consideration and were subsequently confirmed by computed tomography pulmonary angiography. Echocardiographic findings varied between cases and ranged from normal ventricular function to evidence of right -ventricular strain. This case series highlights the continued educational value of recognising classical chest X -ray signs of PE, particularly in supporting early clinical suspicion when definitive imaging is delayed or not immediately available

Pulmonary embolism (PE) may present with subtle but specific radiographic clues on chest X -ray. We describe a series of three patients with acute PE demonstrating classical findings, including the Palla’s sign, Hampton ’s hump, and Westermark ’s sign, across varied clinical settings. In all cases, these findings prompted early diagnostic consideration and were subsequently confirmed by computed tomography pulmonary angiography. Echocardiographic findings varied between cases and ranged from normal ventricular function to evidence of right -ventricular strain. This case series highlights the continued educational value of recognising classical chest X -ray signs of PE, particularly in supporting early clinical suspicion when definitive imaging is delayed or not immediately available