How a Leg Clot Reaches the Lungs

Clot advice usually tells the story in a straight line, from a clot in the leg to a blockage in the lung. This article follows that route and marks where a real case may not match it.
What the source describes
vascular.org describes the usual start: "In most cases, a pulmonary embolism starts as a blood clot in the leg or arm." It then names the step that matters: "If the clot breaks free and travels to the lungs, it can block blood flow and cause a pulmonary embolism."
Where the straight line breaks
Two small words matter here. "Most" leaves room for cases that start elsewhere, and "if" leaves room for a clot that stays where it formed. Your own case may sit on either side of those words. For the clot itself, the CDC lists risk factors for blood clots.
Setting the route against your case, step by step
First, find out where your clot began, if it has been found. my.clevelandclinic.org covers deep vein thrombosis symptoms and treatment. Second, ask whether it has been treated, and compare with the published options on a page from NHLBI, NIH about venous thromboembolism treatment. Third, ask what has been checked in the lungs.
The trade-off to bring to your appointment
The trade-off is between a clean route and a real timeline. Bring the timeline: when the leg first bothered you, what changed, and when any breathing symptoms began. The MedlinePlus Medical Encyclopedia keeps an entry on blood clots to read before you go.