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Chang sign

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Chang sign is a radiologic sign for detecting pulmonary embolism in X-ray films. It refers to the dilatation and abrupt change in calibre of a previously normal descending pulmonary artery on a chest X-ray film.[1] Chang sign usually appears within 24 hours of the onset of chest pain due to pulmonary embolism,[2] and the maximal dilatation of the descending pulmonary artery often occurs in two to three days after the onset of pain.[3]

Chang sign is absent in case of co-existing pneumonia or other conditions causing central opacities, where the descending pulmonary artery cannot be visualised in the X-ray image.[3]

References

  1. ^ Mossbock, R (December 1980). "[Experience with corrective operations for dysgnathia in cleft lip, palate and jaw]". Osterreichische Zeitschrift fur Stomatologie. 77 (12): 466–9. PMID 6938914. {{cite journal}}: |access-date= requires |url= (help)
  2. ^ Saliba, Thomas; Tack, Denis (15 February 2023). "Central Pulmonary Embolism Detected on a Chest X-Ray: A Case Report". 107 (1): 11. doi:10.5334/jbsr.3052. Retrieved 30 April 2024. {{cite journal}}: Cite journal requires |journal= (help)CS1 maint: unflagged free DOI (link)
  3. ^ a b (Joseph) Change, C.H.; Davis, W. Clayton (January 1965). "A roentgen sign of pulmonary infarction". Clinical Radiology. 16 (2): 141–147. doi:https://doi.org/10.1016/S0009-9260(65)80007-1. {{cite journal}}: |access-date= requires |url= (help); Check |doi= value (help); External link in |doi= (help)