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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 ... Pneumonia • Pleura ... #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
Redistribution In a normal chest ... non-perfused vessels and causes ... redistribution applies to chest ... practice many chest ... #CXR #CHF #Cephalization
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
Pericarditis) -> Chest ... Dyspnea, pleuritic chest ... tends to cause ... disease/pulmonary ... pathophysiology #signs
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... lesions abutting the pleura ... The chest film shows ... #Clinical #Radiology ... #CXR #CTChest #
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Sand Storm Sign on Chest CT
 • Diffusely dense pulmonary micronodular calcifications. Note the black pleural
on Chest CT • Diffusely ... dense pulmonary ... Note the black pleural ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... periphery of the lung ... base against the pleural ... In this case, pulmonary ... confirmed with chest
Comet Tail Sign on Chest CT
 • Curvilinear pleural based opacity directed towards the ipsilateral hilum
Comet Tail Sign ... on Chest CT • Curvilinear ... pleural based opacity ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... On a Chest X-Ray ... detected on a chest ... #Diagnosis #Radiology ... #Pulmonary #CXR
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
Split Pleura Sign ... on Chest CT • ... #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical