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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
silhouette sign ... looking at the lateral ... anteriorly in the left lung ... #Clinical #Radiology ... SilhouetteSign #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
70% of cases of CHF ... On a lateral image ... #Clinical #Radiology ... #CXR #CHF #Pleural ... PleuralEffusion #RadiologyAssistant
PA view
On the PA chest-film it is important to examine all the areas where the lung
the silhouette sign ... we will discuss later ... lymphadenopathy, pleural ... #Clinical #Anatomy ... #Radiology #CXR
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... period of CHF (right ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions abutting the pleura ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
Hematocrit Sign on Lung POCUS
The hematocrit sign refers to the echogenic layering of material in a
on Lung POCUS The ... echogenic layering of material ... in a pleural effusion ... #Lung #POCUS #clinical ... #ultrasound #pulmonary
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... edema and some pleural ... #Clinical #Radiology ... #Comparison #RadiologyAssistant
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... gallop rhythm), and laterally ... : weight gain, lung ... HFrEF may lack lung ... pleural effusions
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... Bilateral pleural ... #Clinical #Radiology ... #CTChest #CHF # ... IntersitialEdema #Septal #RadiologyAssistant