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35 Possible Causes for Chest Pain Worse when Lying Down, X-Ray Abnormal

  • Diaphragmatic Hernia

    A chest X-ray is done to look at the abnormalities of the lungs, diaphragm and intestine.[choc.org] A chest X-ray is done to look at the abnormalities of the lungs, diaphragm, and intestine.[childrensnational.org]

  • Pericarditis

    Chest X-rays may be normal, but if there is a significant pericardial effusion, the heart shape may be abnormal. It is sometimes described as globular or flask shaped.[emedicinehealth.com] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] Then doctors look for signs of pericardial effusion by doing a chest x-ray and echocardiography (a procedure that uses ultrasound waves to produce an image of the heart).[msdmanuals.com]

  • Acute Pericarditis

    Chest X-ray showed normal findings, and mild elevation of C-reactive protein was observed in the blood chemistry data.[ncbi.nlm.nih.gov] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] […] paradoxus, raised jugular venous pressure, muffled heart sounds, decreased electrocardiographic voltage with electrical alternans and an enlarged cardiac silhouette on chest X-ray[en.my-ekg.com]

  • Vertebral Compression Fracture

    Dynamic, or flexion/extension X-rays (X-rays that show the spine in motion) may be obtained to see if there is any abnormal or excessive movement or instability in the spine[columbianeurosurgery.org] The pain often gets worse with motion, particularly when you are changing positions. It is often relieved by rest or lying down.[orthoinfo.aaos.org] Special flexion and extension x-rays may be taken to detect any abnormal movement.[mayfieldclinic.com]

  • Aortic Valve Stenosis

    The physician injects a contrast solution into the artery and takes X-rays to check for blockage and other abnormalities.[wexnermedical.osu.edu] If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse.[en.wikipedia.org] An ECG can detect enlarged chambers of your heart, heart disease and abnormal heart rhythms. Chest X-ray.[mayoclinic.org]

  • Esophageal Achalasia

    He or she analyzes the X-ray image to see if the esophagus is abnormally dilated.[nyulangone.org] Other symptoms may include: Discomfort or pain in the chest, especially after meals Coughing, especially when lying down Heartburn Weight loss Vomiting In some people, vomiting[swedish.org] Other symptoms can include: Chest pains Reflux Aspiration (inhaling food into the lungs) Vomiting undigested food Discomfort when lying down (gravity helps with swallowing[chw.org]

  • Toxic Myocarditis

    Further diagnostic tests may show elevated cardiac enzymes and cardiac enlargement in chest x-rays.[amboss.com] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] These tests include: blood testing : to check for signs of infection or inflammation sources chest X-ray : to show chest anatomy and potential signs of heart failure electrocardiogram[healthline.com]

  • Pleural Mesothelioma

    Chest x-ray: To help identify any abnormalities or fluid buildup in the pleura (the lining of the lungs and chest wall).[cancerpathways.org.au] Pleural mesothelioma may cause: Shortness of breath (breathlessness) This common symptom usually feels worse with activity or when you are lying down.[cancervic.org.au] Diagnostic Imaging Tests Doctors examine the chest area with a diagnostic imaging test, like an x-ray or CT scan, to find abnormal-looking masses or growths that may be tumors[treatmesothelioma.org]

  • Dressler Syndrome

    Chest x-ray: This can help identify any evidence of fluid accumulation around the heart area.[epainassist.com] Symptoms include: chest pain that’s worse when lying down chest pain that worsens with deep breathing or coughing (pleuritic pain) fever difficult or labored breathing fatigue[healthline.com] Chest X-ray. An X-ray can help detect fluid building up around the heart or lungs and can help exclude other causes of your symptoms, such as pneumonia. Blood tests.[drugs.com]

  • Superior Vena Cava Syndrome

    A plain chest x-ray may show abnormal enlargement of the mediastinum or may reveal a tumor in the lung.[medicinenet.com] Dyspnea may be worse when leaning forward or lying down. Arm swelling is another common symptom of SVC syndrome.[pulmccm.org] Typical physical findings: Facial edema, arm swelling, venous distention in neck and chest wall, and cyanosis Imaging studies Chest X-ray is abnormal in 75% of patients.[clinicaladvisor.com]

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