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We are reporting a case of 57 year old lady smoker with history of hypertension, diabetes, hypercholesterolemia and depression that was admitted to hospital for suicidal ideation and paraspinal abscess. Patient had acute retrosternal chest pain associated with shortness of breath, electrocardiogram finding was highly suggestive of STEMI in V1-V3, Patient coded in ventricular tachycardia that cardioverted to sinus rhythm, coronary angiogram didn’t reveal culprit lesion but pulmonary angiogram confirmed the diagnosis of pulmonary embolism.