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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
On the left images ... first glance you might ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
PA view
On the PA chest-film it is important to examine all the areas where the lung
for instance the right ... aortic knob or left ... #Clinical #Anatomy ... #Radiology #CXR ... #Normal #Labeled
On a chest film only the outer contours of the heart are seen.
In many cases we
contour on the right ... Right Ventricle ... #Anatomy #Radiology ... #CXR #Atrium #Ventricle ... Cardiac #Chambers #RadiologyAssistant
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
perihilar haze (right ... The lateral view ... #Clinical #Radiology ... #CXR #Lateral # ... #Thickening #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
more often on the right ... on the lateral view ... #Clinical #Radiology ... #CXR #CHF #Pleural ... PleuralEffusion #RadiologyAssistant
Lateral view
On a normal lateral view the contours of the heart are visible and the IVC
seen entering the right ... #Clinical #Anatomy ... #Radiology #CXR ... Lateral #Normal #Labeled ... #RadiologyAssistant