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On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... silhouette on the chest ... Pericardial effusion ... CT-reconstruction #Clinical #Radiology ... #CXR #CTChest #
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
dissection - SCAD • Pericardium ... - Tamponade Pulmonary ... Causes of Chest ... • Pleura: - Effusion ... #Cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
• Malignancy (e.g ... patients with pulmonary ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... Differential #Diagnosis #cardiology
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Nodule / mass • Masses ... Lymphadenopathy • Pericardial ... Pneumomediastinum, Pericardial ... effusionCXR ... #radiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
since the heart or pericardial ... fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral #
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
: - CXR: leftward ... shift of the cardiac ... silhouette, Snoopy sign ... CardiacMRI #CMRI #cardiology ... #chest #radiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
boot shaped heart caused ... along with concave Pulmonary ... #XRay #CXR #clinical ... #radiology #peds ... #pediatrics #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
life-threatening causes ... Pneumothorax • Pulmonary ... embolism • Cardiac ... Initial workup: • EKG ... ultrasound • CXR
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
of dyspnea and chest ... pain - PE will ... paradoxus - ECG ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology