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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Diagnosis and Workup Algorithm ... ultrasound • CXR ... Serial troponin; HEART ... score • PERC; ... Well score for
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
sign of the left heart ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ill-defined ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
due to cardiac heart ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... Pneumonia #PJP #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
x-ray there is an ill-defined ... In the proper clinical ... #Clinical #Radiology ... #CXR #AirBronchogram ... #RadiologyAssistant
Left lower lobe atelectasis - There is a triangular density seen through the cardiac shadow.
This must
posterior to the heart ... the opposite #Clinical ... #Radiology #CXR ... #LLL #Lobar #Collapse ... #RadiologyAssistant
Nontuberculous mycobacteria
Nontuberculous mycobacteria, also known as atypical mycobacteria, are all the other mycobacteria which can cause
mycobacteria, are all ... #Clinical #Radiology ... #CXR #Lateral # ... AirFluidLevel #RadiologyAssistant
PA view
On the PA chest-film it is important to examine all the areas where the lung
important to examine all ... diaphragm, the heart ... fluid overload and heart ... #Clinical #Anatomy ... #Radiology #CXR
The contours of the left and right diaphragm should be visible.
The right diaphragm should be visible
should be visible all ... it borders the heart ... #Clinical #Anatomy ... #Radiology #CXR ... Hemidiaphragm #RadiologyAssistant
First study the CXR.
Notice the subtle increased density in the area behind the heart that needs
First study the CXR ... area behind the heart ... #Clinical #Radiology ... #CXR #LLL #Pneumonia ... SilhouetteSign #RadiologyAssistant