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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Electrical Alternans on POCUS Echocardiogram
You dissect the EKG and note low voltage tachycardia with a hint
- MH/CCF/CWRU ... EM Res @MetroHealth_EM ... Echocardiogram #clinical ... #effusion #pericardial
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
#Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural effusion ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Early and Late Clinical ... Localized • EM ... days-weeks after EM ... - Normal CSF ... - CSF + Lyme
POCUS B-Lines #Clinical #EM #PCC #Radiology #POCUS #BLines #CHF
POCUS B-Lines #Clinical ... #EM #PCC #Radiology ... POCUS #BLines #CHF
On the left another patient with a large cardiac silhouette on the chest x-ray due to
to pericardial effusion ... Pericardial effusion ... CT-reconstruction #Clinical ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
pericardial fat or effusion ... #Clinical #Radiology ... Cardiac #Incisura #RadiologyAssistant