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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Causes of Chest ... • Alveoli: - CHF ... - Effusion - Pneumothorax ... #Cardiology
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Annotated on Chest ... radiopaedia.org/cases ... lobes #Segments #Chest ... #CT #CTChest #pulmonary ... #clinical #radiology
Lung Point in Pneumothorax

Lung ultrasound of a patient with SOB and chest pain after central line
Lung Point in Pneumothorax ... patient with SOB and chest ... #Point #pneumothorax ... #POCUS #Clinical ... #Pulmonary
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Vessel Sign on Chest ... CT • Distinct pulmonary ... leading into a lung ... #Pulmonary #diagnosis ... #radiology #clinical
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... redistribution applies to chest ... In daily clinical ... practice many chest ... #Clinical #Radiology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Embolism (chest ... Hypertension - Chest ... Pleura • Pneumothorax ... ChestPain #Noncardiac #Cardiology
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... sarcoidosis, mets to the lung ... Halo #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung ... with a cystic lung ... airways leading to pulmonary ... #Clinical #Radiology
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... cervical rib Check lung ... radiologistpage #Chest ... Interpretation #Checklist #radiology ... #diagnosis #pulmonary
Absent Lung Sliding in Pneumothorax on Lung POCUS

24yo F pleuritic chest pain.  No history of
in Pneumothorax ... on Lung POCUS ... 24yo F pleuritic chest ... #Lung #POCUS #pulmonary ... #clinical