A very high level of agreement was found in the assessment of PE propagation at all levels of the PA tree (trunk k=0.95, main branches k=0.92, lobar branches k=0.90, segmental branches k=0.86) and the overall thrombus burden index based on the modified Qanadli score (0.92). Similar results with a kappa index above 0.8 were found for the supplementary outcome predictors (consolidations, ground-glass opacities, pleural effusions). These results are important since they suggest high reliability of reports made by residents and fellows and allow for possible approval of such findings as final. However, that needs further assessment and appropriate implementation depending on local or national settings. Given the overall high number of CTPA exam in everyday practice, it can potentially improve department workflow and report details in acute settings.