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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... - Tamponade Pulmonary ... Causes of Chest ... Pain: • Chest ... • Alveoli: - CHF
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... interstitial opacities - Fine ... mass - Solitary Pulmonary ... #Clinical #Radiology ... #CXR #Consolidation
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... , anti-CCP • CXR ... high resolution chest ... CT • Bronchoscopy ... out infection, biopsy
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 ... radiologistpage #Chest ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... Miliary #Pattern #Chest ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
Sand Storm Sign on Chest CT
 • Diffusely dense pulmonary micronodular calcifications. Note the black pleural
Storm Sign on Chest ... CT • Diffusely ... dense pulmonary ... arrow) • DDx: PAM ... #diagnosis #radiology
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 ... practice many chest ... #Clinical #Radiology ... #CXR #CHF #Cephalization
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Pulmonary Nodule
Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
yield of available diagnostic ... malignancy is < 1% for all ... with a repeat chest ... nodule growth with chest ... 70% to 90% for a diagnosis
Lymphangioleiomyomatosis- Computed tomography of the chest, reconstructed in the coronal plane at the level of the
tomography of the chest ... intraparenchymal pulmonary ... affect women of all ... Lymphangioleiomyomatosis #LAM ... #radiology #CT