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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Cardiovascular Causes ... Tamponade Pulmonary Causes ... • Alveoli: - CHF ... • Pleura: - Effusion ... #Cardiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
#Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
On the left another patient with a large cardiac silhouette on the chest x-ray due to
to pericardial effusion ... Pericardial effusion ... CT-reconstruction #Clinical ... #Radiology #CXR ... PericardialEffusion #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural effusion ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
bilateral in 70% of cases ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
most frequently caused ... The other cause ... #Clinical #Radiology ... Pneumonia #PJP #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... Cardiac #Incisura #RadiologyAssistant
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
Cytomegalovirus, Influenza, Lymphocytic ... complex • Nodular/Masses ... Parapneumonic effusion ... (NHL, primary effusion ... diagnosis #chestCT #radiology