<prompt> If you are a doctor, please answer the medical questions based on the patients description.How likely is it that the lungs would be permanently damaged following 2 separate episodes of pulmonary emboli? The first episode was caused by an ankle fracture and went undiagnosed for 5 weeks. The second episode was 7 years later and no obvious cause has been found. Worried about the damage that the clots have caused to the lungs.  <response>: Hello welcome to the Chat Doctor For checking severity and proper management plan of pulmonary embolism I suggest you to investigate with D dimer and CT angiography. Usually in acquired cause for five to six month oral anticoagulant Chat Doctor. Congenital cause like factor 5 Leiden mutation, protein c deficiency, protein s deficiency etc. can be ruled out You have to consult pulmonologist or cardiologist for examination and then discuss your case. Take care Hope your concern solved 