Chest Pain
What to scan:
Findings
Use the corresponding finding images to identify what pathology your patient may have. Please remember that multiple diagnoses may exist at the same patient.
Cardiac
Normal:
Cardiac
Pulmonary
Normal:
Pulmonary
IVC
Normal:
IVC
Cardiac
Acute MI:
Cardiac
Diminished LVEF can suggest acute myocardial infarction
Pulmonary
Acute MI:
Pulmonary
Multifocal B-lines suggest congestive heart failure, in setting of acute MI this is high risk
IVC
Acute MI:
IVC
Fat IVC also suggests large MI
Cardiac
COPD/Asthma:
Cardiac
Normal to hyperdynamic LVEF
Pulmonary
COPD/Asthma:
Pulmonary
No B-lines
IVC
COPD/Asthma:
IVC
Normal to flat IVC
Cardiac
Pneumonia:
Cardiac
Normal to hyperdynamic LVEF
Pulmonary
Pneumonia:
Pulmonary
Focal B-lines to dense consolidation
IVC
Pneumonia:
IVC
Normal to flat IVC
Cardiac
Pericardial Effusion:
Cardiac
Normal to hyperdynamic LVEF
Pulmonary
Pericardial Effusion:
Pulmonary
Focal B-lines to dense consolidation
IVC
Pericardial Effusion:
IVC
Fat IVC
Cardiac
Pulmonary Embolism:
Cardiac
Large RV
Pulmonary
Pulmonary Embolism:
Pulmonary
No B-lines
IVC
Pulmonary Embolism:
IVC
Fat IVC
Cardiac
Pneumothorax:
Cardiac
Variable LVEF
Pulmonary
Pneumothorax:
Pulmonary
No pleural sliding
IVC
Pneumothorax:
IVC
Fat IVC
Cardiac
Pleural Effusion:
Cardiac
Variable LVEF
Pulmonary
Pleural Effusion:
Pulmonary
Large fluid collections above diaphragm
IVC
Pleural Effusion:
IVC
Variable IVC
Cardiac
Thoracic Aortic Dissection:
Cardiac
Wide aortic root, sometimes pericardial effusion
Pulmonary
Thoracic Aortic Dissection:
Pulmonary
Variable
IVC
Thoracic Aortic Dissection:
IVC
Variable