Chest Pain

Rapid Summary

What to scan:

Left Ventricle Ejection Fraction

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.

Normal:

Acute MI:

Cardiac

Diminished LVEF can suggest acute myocardial infarction

Pulmonary

Multifocal B-lines suggest congestive heart failure, in setting of acute MI this is high risk

IVC

Fat IVC also suggests large MI

COPD/Asthma:

Cardiac

Diminished LVEF can suggest acute myocardial infarction

Pulmonary

Multifocal B-lines suggest congestive heart failure, in setting of acute MI this is high risk

IVC

Fat IVC also suggests large MI

Pneumonia:

Cardiac

Diminished LVEF can suggest acute myocardial infarction

Pulmonary

Multifocal B-lines suggest congestive heart failure, in setting of acute MI this is high risk

IVC

Fat IVC also suggests large MI

Pericardial Effusion:

Cardiac

Diminished LVEF can suggest acute myocardial infarction

Pulmonary

Multifocal B-lines suggest congestive heart failure, in setting of acute MI this is high risk

IVC

Fat IVC also suggests large MI

Pulmonary Embolism:

Cardiac

Diminished LVEF can suggest acute myocardial infarction

Pulmonary

Multifocal B-lines suggest congestive heart failure, in setting of acute MI this is high risk

IVC

Fat IVC also suggests large MI

Pneumothorax:

Cardiac

Diminished LVEF can suggest acute myocardial infarction

Pulmonary

Multifocal B-lines suggest congestive heart failure, in setting of acute MI this is high risk

IVC

Fat IVC also suggests large MI

Pleural Effusion

Cardiac

Diminished LVEF can suggest acute myocardial infarction

Pulmonary

Multifocal B-lines suggest congestive heart failure, in setting of acute MI this is high risk

IVC

Fat IVC also suggests large MI

Thoracic Aortic Dissection

Cardiac

Diminished LVEF can suggest acute myocardial infarction

Pulmonary

Multifocal B-lines suggest congestive heart failure, in setting of acute MI this is high risk

IVC

Fat IVC also suggests large MI