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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
between the stomach bubble ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Here a pneumonia which was hidden in the right lower lobe mainly below the level of
density on the lateral ... #Clinical #Radiology ... #CXR #RLL #Pneumonia ... #Hidden #Subtle ... #Diaphragm #RadiologyAssistant
First study the CXRs.
There is a subtle consolidation in the left lower lobe in the hidden
First study the CXRs ... There is a subtle ... lower lobe in the hidden ... #Clinical #Radiology ... SilhouetteSign #RadiologyAssistant
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
branching vessels #Diagnosis ... #Radiology #CXR ... Differential #Unilateral #Bilateral ... #RadiologyAssistant
Here an example of a large lesion in the right lower lobe, which is difficult to
#Clinical #Radiology ... #CXR #CTChest # ... RLL #Tumor #Hidden ... #Subtle #Diaphragm ... #RadiologyAssistant
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
x-ray (left) and CHF ... The lateral view ... #Clinical #Radiology ... #CXR #Lateral # ... #Thickening #RadiologyAssistant
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
findings are: - bilateral ... heart size - subtle ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
Batwing A bilateral ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
On the left another patient with congestive heart failure.
The lateral view nicely demonstrates the increased diameter
The lateral view ... #Clinical #Radiology ... #CXR #CHF #Peribronchial ... PeribronchialCuffing #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