No CME

Case Review

Knowledge/Theory

Emergency Imaging Pre-test

Emergency Imaging: Chest Pre-Course Assessment

Bone & Soft Tissues

Lungs

Mediastinum

Myocardium

Pericardium

Pleural

FASER

Jamlik-Omari Johnson

X-Ray (Plain Films)

Drug related

Iatrogenic

Idiopathic

Infectious

Metabolic

Neoplastic

Non-infectious Inflammatory

Syndromes

Trauma

Vascular

Chest

Emergency

Emergency Chest Imaging - Post Course Assessment

Emergency Imaging: Chest Post-Course Assessment

Emergency Series

Introduction

Anatomy Review on Chest X-Ray and CT

Lesson 1

Introduction: Chest Pain

Case 1 - Pneumothorax on Chest X-ray

Case 2 - Pneumothorax without Tension

Case 3 - Pneumothorax with Tension

Case 4 - Pneumothorax on Chest CT

Pneumothorax - Summary

Case 5 - Pericardial Effusion

Pericardial Effusion - Summary

Chest Pain Lesson Reinforcement Quiz

Lesson 2

Introduction: Shortness of Breath

Case 1 - Pulmonary Embolism - Approach to CT Pulmonary Angiography

Case 2 - Pulmonary Embolism

Pulmonary Embolism - Summary

Case 3 - Pulmonary Edema

Case 4 - Suspected Pulmonary Edema with CT for Differential

Case 5 - Importance of Search Pattern in Cases with Multiple Findings

Case 6 - History of Asthma

Case 7 - Lymphoma

Case 8 - Malignancy

Shortness of Breath Reinforcement Quiz

Lesson 3

Introduction: Fever & Infection

Case 1 - Lobar & Multifocal Pneumonia

Pneumonia - Summary

Case 2 - Tuberculosis

Case 3 - COVID-19 Pneumonia

COVID-19 - Summary

Infections Reinforcement Quiz

Lesson 4

Introduction: Trauma

Case 1 - Blast Injury, Pulmonary Contusion & Pleural Effusion

Case 2 - Clavicular Fracture

Case 3 - Rib Fractures

Rib Fracture Summary

Trauma Reinforcement Quiz

Lesson 5

Introduction: Lines & Tubes

Case 1 - Orogastric Tubes

Introduction: Foreign Bodies

Case 2 - Foreign Body

Case 3 - Esophageal Foreign Body

Case 4 - Esophageal Perforation

Case 5 - Edge of Film - Myocardial Infarction Incidental

Myocardial infarction - Summary

Miscellaneous Reinforcement Quiz

Lesson 6

Post-Course Evaluation

Post-Course Activities

Join Dr. Jamlik-Omari Johnson (USC) as he walks you through his approach to the most common clinical scenarios evaluated by Chest Imaging in the Emergency Department.

Emergency Imaging: Chest

EXAM: CT Chest w/ Contrast 
CLINICAL INDICATION: PE Protocol;Acute shortness of breath, history of asthma.
TECHNIQUE: Written informed consent was obtained. Non-gated spiral axial images
of the chest were obtained with nonionic intravenous contrast according to a
pulmonary embolism protocol.  There were no immediate complications reported. 
FINDINGS:
PULMONARY ARTERIES:
Diagnostic to the level of the subsegmental pulmonary arteries. No pulmonary
emboli are identified.
MEDIASTINUM/HEART/VESSELS: 
Heart size normal, no pericardial effusion. No evidence of right heart
dysfunction. No enlarged thoracic lymph nodes by CT size criteria. The aorta is
normal in course and caliber, without thoracic aortic dissection.
AIRWAY/LUNGS/PLEURA:
Patchy groundglass opacities within all lobes the lungs, with a shifting
distribution compared to prior examination, with some areas of new groundglass
opacity, and improvement in other areas of groundglass opacity likely
representing infection, such as a viral pneumonia. Diffuse bronchial wall
thickening. No septal thickening or pleural effusions to suggest pulmonary
edema.
VISIBLE ABDOMEN:
Images of the upper abdomen show no significant abnormality.
SOFT TISSUES/BONES:
Visualized bones are unremarkable.
IMPRESSION:
1. No pulmonary emboli.
2. Patchy groundglass opacities, most of which are bronchocentric, within all
lobes of the lungs, with small amount of consolidation within the right middle
lobe. These findings likely represent infection such as viral, atypical
community acquired pneumonia such as mycoplasma, or other etiology of pneumonia.
3. Mild hilar lymph node enlargement, likely reactive in etiology.
4. Diffuse bronchial wall thickening, which can be seen in infectious
bronchitis, and asthma.


EXAM: XR Chest 
CLINICAL INDICATION: Cough. chest pains. Shortness of breath.
FINDINGS: 
Support Devices:  None. 
Heart/Mediastinum:  Normal. 
Lungs/Pleura:  No pulmonary edema. No airspace opacity. No pleural effusion. No
pneumothorax. 
Bones/Soft Tissues:  No acute abnormality. 
IMPRESSION: 
No acute abnormality.

