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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
Left lower lobe atelectasis - There is a triangular density seen through the cardiac shadow.
This must
posterior to the heart ... confirmed on the lateral ... Clinical #Radiology #CXR ... #LLL #Lobar #Collapse
Right lower lobe atelectasis
Chest x-rays of a 70-year old male who fell from the stairs and
border of the heart ... lung but by the collapsed ... Clinical #Radiology #CXR ... #Lateral #RLL # ... Lobar #Collapse
Right middle lobe atelectasis
First study the x-rays and then continue reading.
What are the findings?
Blurring of the
Blurring of the right heart ... as a result of collapse ... Clinical #Radiology #CXR ... #Lateral #RML # ... MiddleLobe #Lobar #Collapse
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 ... lost, since the heart ... Anatomy #Radiology #CXR ... #Lateral #Hemidiaphragm
There is a right lower lobe atelectasis.
Notice the abnormal right border of the heart.
The right interlobar
border of the heart ... lung but by the collapsed ... the normal right heart ... Clinical #Radiology #CXR ... #RLL #Lobar #Collapse
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 ... we will discuss later ... fluid overload and heart ... Anatomy #Radiology #CXR
On a normal lateral chest film the silhouette of the left diaphragm 2- can be seen
On a normal lateral ... bordered by the heart ... Clinical #Radiology #CXR ... #Pneumonia #RLL ... #Lateral #SilhouetteSign
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
Congestive heart ... findings are: - bilateral ... - an increased heart ... vascular pedicle All ... Clinical #Radiology #CXR
Here we have a patient with atelectasis of the right upper lobe as a result of
as seen on the lateral ... Clinical #Radiology #CXR ... #RUL #Collapse