Westermark sign
In chest radiography, the Westermark sign is a sign that represents a focus of oligemia (hypovolemia) (leading to collapse of vessel) seen distal to a pulmonary embolism (PE). While the chest x-ray is normal in the majority of PE cases, the Westermark sign is seen in 2% of patients. Essentially, this is a plain X-ray version of a filling defect as seen on computed tomography pulmonary arteriogram. The sign results from a combination of: Sensitivity and specificity. The Westermark sign, like Hampton's hump (a wedge shaped, pleural based consolidation associated with pulmonary infarction), has a  low sensitivity (11%) and high specificity (92%) for the diagnosis of pulmonary embolism. Put more simply, the Westermark sign is seldom seen in pulmonary embolism, but when visible on a chest X-ray, it is strongly indicative of pulmonary embolism. Etymology. It is named after Nils Westermark, a Swedish radiologist.