Imaging in the Evaluation of Chest Pain in the Primary Care Setting, Part 2: Sources of Noncardiac Chest Pain

Am J Med. 2020 Oct;133(10):1135-1142. doi: 10.1016/j.amjmed.2020.04.013. Epub 2020 May 20.

Abstract

Chest pain is a common presenting complaint in the primary care setting. Imaging plays a key role in the evaluation of the multiple organ systems that can be responsible for chest pain. With numerous imaging modalities available, determination of the most appropriate test and interpretation of the findings can be a challenge for the clinician. In this 2-part series, we offer resources to guide primary care physicians in the selection of imaging studies and present the imaging findings of various causes of nonemergent chest pain. In Part 2, we focus on the radiologic appearance of common noncardiac sources of chest pain, including gastrointestinal, pulmonary, and musculoskeletal etiologies.

Keywords: Cardiothoracic imaging; Chest pain; Computed tomography (CT); Magnetic resonance imaging (MRI); Radiography.

Publication types

  • Review

MeSH terms

  • Chest Pain / etiology*
  • Esophageal Motility Disorders / complications
  • Esophageal Motility Disorders / diagnostic imaging*
  • Fractures, Compression / complications
  • Fractures, Compression / diagnostic imaging
  • Gastroesophageal Reflux / complications
  • Gastroesophageal Reflux / diagnostic imaging
  • Hernia, Hiatal / complications
  • Hernia, Hiatal / diagnostic imaging*
  • Humans
  • Magnetic Resonance Imaging
  • Musculoskeletal Diseases / complications
  • Musculoskeletal Diseases / diagnostic imaging*
  • Pleural Effusion / complications
  • Pleural Effusion / diagnostic imaging
  • Pneumonia / complications
  • Pneumonia / diagnostic imaging
  • Pneumothorax / complications
  • Pneumothorax / diagnostic imaging
  • Primary Health Care*
  • Radiography, Thoracic
  • Respiratory Tract Diseases / complications
  • Respiratory Tract Diseases / diagnostic imaging*
  • Rib Fractures / complications
  • Rib Fractures / diagnostic imaging
  • Spinal Fractures / complications
  • Spinal Fractures / diagnostic imaging
  • Thoracic Wall / diagnostic imaging
  • Tietze's Syndrome / complications
  • Tietze's Syndrome / diagnostic imaging
  • Tomography, X-Ray Computed