Department of Radiology, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland.
Department of Cardiothoracic Imaging, NYU Langone Medical Centre, New York, NY, 10016, USA.
Emerg Radiol. 2022 Jun;29(3):585-593. doi: 10.1007/s10140-022-02023-7. Epub 2022 Jan 31.
Chest pain is a common reason for presentation to the emergency department. In many cases, a CTPA or CT thoracic aorta is performed during work up to assess for pulmonary embolism and aortic pathology, critical diagnoses that can be difficult to out rule clinically. However, the causes of chest pain are myriad. It is therefore crucial for the interpreting radiologist to be cognizant of other potential etiologies when interpreting these studies. The purpose of this pictorial essay is to highlight the causes of non-PE or aortic-related chest pain and provide radiologists with a structured approach to interpreting these studies, ensuring a comprehensive search strategy so that important pathologies are not missed.
胸痛是急诊科就诊的常见原因。在许多情况下，为了评估肺栓塞和主动脉病变，在检查过程中会进行 CTPA 或 CT 胸部主动脉检查，这些都是临床上难以排除的重要诊断。然而，胸痛的原因有很多。因此，对于解释放射科医生来说，在解释这些研究时意识到其他潜在病因至关重要。本文通过图片说明的方式，重点介绍非 PE 或主动脉相关胸痛的原因，并为放射科医生提供一种解释这些研究的结构化方法，确保采用全面的搜索策略，避免遗漏重要的病变。
