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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pulmonary embolism • Cardiac ... ultrasound • CXR ... MatthewHoMD #Chest
On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... silhouette on the chest ... on the coronal CT-reconstruction ... #Clinical #Radiology ... #CXR #CTChest #
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Tetralogy of Falot on Chest ... develops after birth Chest ... Tetralogy #Falot #Chest ... #XRay #CXR #clinical ... #radiology #peds
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... against the anterior chest ... be seen on many chest ... #Clinical #Radiology ... #CXR #Lateral #
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... can suggest the diagnosis ... The chest film shows ... #Clinical #Radiology ... #CXR #CTChest #
Mosaic Attenuation on Chest CT
 • Variable attenuation seen on a chest CT in a lobular
Attenuation on Chest ... attenuation seen on a chest ... PJP, CEP, HP, COP ... Lung #Pulmonary #diagnosis ... #radiology #clinical
Progressive Massive Fibrosis on Chest X-Ray
In a construction worker presenting with shortness of breath.
Progressive Massive Fibrosis
Massive Fibrosis on Chest ... a construction worker ... Massive #Fibrosis #Chest ... #XRay #CXR #silicosis ... #clinical #radiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... Radiology • Miliary ... Miliary #Pattern #Chest ... #CXR #clinical ... #CT
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Nodule - Multiple Masses ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation