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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Workup Algorithm History ... life-threatening causes ... Pneumothorax • Pulmonary ... ultrasound • CXR ... , PT. aPTT • Serial
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... In daily clinical ... In these cases comparison ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... seen and in many cases ... Diagnosis #Radiology #Pulmonary ... #Pattern #Differential ... #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... chronic illness, clinical ... between these chest ... #Radiology #CXR ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Comparison #Table ... #RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
infarction In pulmonar ... The pulmonary embolus ... #Clinical #Radiology ... #CXR #CTChest # ... PulmonaryEmbolism #RadiologyAssistant
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
inhalational injury Differential ... Endemic fungi: Histo ... #Radiology #differential ... #diagnosis #pulmonary ... #CXR #clinical
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
several month history ... dealing with the differential ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant