Contrast enhanced pulmonary magnetic resonance angiography for pulmonary embolism: Building a successful program

•Obtaining consistent high-quality pulmonary embolism MRA studies for Emergency Department patients is feasible.•A simple, focused short MRA protocol is essential and is possible using existing commercially available methods.•Extending contrast bolus duration to match acquisition length improves image quality.•Pulmonary embolism MRA can also show important alternative diagnoses.•Artifacts on MRA that differ from those on CTA are described.•Strategies for overcoming potential barriers to implementation of a clinical pulmonary embolism MRA program are described.