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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Myopericarditis • Vascular ... - Tamponade Pulmonary ... Causes of Chest ... Pleuritis • Alveoli ... : - CHF - Pneumonia
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Cardiogenic pulmonary ... Cardiogenic pulmonary ... Clinical #Radiology #Pulmonary ... #CTChest #LymphangiticCarcinomatosis ... Comparison #Table #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... Clinical #Radiology #CTChest ... SeptalThickening #CHF ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Filling of the alveolar ... interstitium or alveolar ... Diagnosis #Radiology #Pulmonary ... #CTChest #GGO # ... #Differential #RadiologyAssistant
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
another patient with alveolar ... difference in vascular ... Radiology #CXR #CHF ... #Alveolar #Pulmonary ... AlveolarEdema #RadiologyAssistant
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Cardiomyopathy Valvular ... Regurgitation • Sub-Valvular ... Thickening/Masses Chest ... Alveoli • Pneumonia ... Interstitium • ILD • CHF
Non-Resolving Pneumonias: Etiologies
Unusual Infections:
 - Immunocompromised patients (e.g.: Mycobacterium, Aspergillosis, Nocardia)
 - Endemic Fungi (e.g.: Histoplasmosis,
- Alveolar proteinosis ... Others: - Pulmonary ... vascular abnormalities ... (Pulmonary infarction ... /PE, CHF) - Drug
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... during a period of CHF ... increased width of the vascular ... Radiology #CXR #CHF ... Redistribution #RadiologyAssistant
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
neuromuscular disease, ↓ chest ... Shunt: Cardiac, Vascular ... , Alveolar • V ... Diagnosis #Algorithm #pulmonary
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
the air in the alveoli ... the air in the alveoli ... Diagnosis #Radiology #Pulmonary ... #CTChest #Consolidation ... #Differential #RadiologyAssistant