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Abstract Chest pain is one of the most common presenting symptoms for patients coming to the emergency department (ED). Non-cardiac chest pain is common in the general population and impacts significantly on the quality of life, yet only a minority seeks medical attention. Multidetector CT has excellent accuracy in demonstrating non cardiac causes of chest pain, including pneumothorax, pneumonia, malignancies, pulmonary airspace abnormalities, and interstitial lung disease. Pericardial effusions, thickening, and calcifications are seen far more readily than with radiography alone. In the setting of undifferentiated chest pain, CT angiography (CTA) with its high sensitivity and specificity can be considered the modality of choice to diagnose suspected PE or aortic pathology such as aortic dissection or aneurysm. This study aimed to evaluate the role of multi-detector computed tomography (CT) in diagnosis of non-cardiac causes of chest pain. We examined 55 patients 38 males (69.1%) and 17 females (30.9%) presenting with acute or chronic chest pain . Their ages ranged between 1-75 years (mean age 38 years).Forty two patients (76.4%) were complaining from other symptoms associated with chest pain as cough, fever, hemoptysis, dyspnea, back pain and bulging mass, thirteen patients (23.6%) were complaining from chest pain only without other associated symptoms. Cough was the most common associated symptom in the study group representing 27.3%. All patients were clinically evaluated and had routine assessment and underwent multi-detector CT chest examination. |