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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Pneumothorax • Pulmonary ... EKG • Bedside ultrasound ... score for PE • CTA ... MatthewHoMD #Chest
Monod Sign on Chest CT
 • Air surrounding a fungal ball in a preexisting pulmonary cavity
Monod Sign on Chest ... CT • Air surrounding ... #Monod #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Vessel Sign on Chest ... CT • Distinct ... pulmonary vessel ... #Vessel #Sign #CT ... #diagnosis #radiology
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... CT • SPN or mass ... #Halo #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology
Bronchus Sign on Chest CT
 • Airway leading directly to a peripheral lung nodule or mass
Bronchus Sign on Chest ... CT • Airway leading ... : Bronchogenic Ca ... Bronchus #Sign #CT ... #Lung #Pulmonary
Corona Radiata (Sunburst sign) on Chest CT
 • SPN or mass, with spiculated and inegular margins
Sunburst sign) on Chest ... CT • SPN or mass ... : Bronchogenic Ca ... Sunburst #Sign #CT ... #Lung #Pulmonary
CT Angiogram Sign on Chest CT
 • Prominent pulm vessels traversing through an area of parenchymal
CT Angiogram Sign ... on Chest CT • ... mucinous adeno Ca ... Angiogram #Sign #CT ... #Lung #Pulmonary
Cheerio Sign (Open Bronchus Sign) on Chest CT
 • Pulmonary nodule with a central lucency
 •
Bronchus Sign) on Chest ... CT • Pulmonary ... DDx: Pulm adeno Ca ... Cheerio #Sign #CT ... #diagnosis #radiology
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Hypertension on Chest ... CT • Main PA ... PHTN #ChestCT #CTChest ... Radiology #cardiology #diagnosis
Air Crescent Sign on Chest CT
 • Crescentic or circumferential rim of radiolucent airspace within a
Crescent Sign on Chest ... CT • Crescentic ... , bronchogenic Ca ... Crescent #Sign #CT ... #Lung #Pulmonary