PE MIMICS: a structured approach for the emergency radiologist in the evaluation of chest pain

Emerg Radiol. 2022 Jun;29(3):585-593. doi: 10.1007/s10140-022-02023-7. Epub 2022 Jan 31.

Abstract

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.

Keywords: CT pulmonary angiogram; CT thoracic aorta; Chest pain; Search patterns.

MeSH terms

  • Chest Pain / diagnostic imaging
  • Emergency Service, Hospital*
  • Humans
  • Pulmonary Embolism* / diagnostic imaging
  • Radiologists
  • Retrospective Studies