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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... murmur of valvular regurgitation ... bilateral pleural effusions ... → no signs of CXR ... #management #cardiology
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
Split Pleura Sign ... • DDx: Empyema ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... edema, and clear lungs ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... • DDx; Cylindrical ... bronchiectasis, CF ... #diagnosis #radiology ... #clinical
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
In daily clinical ... chronic obstructive lung ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... AlveolarEdema #RadiologyAssistant
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... the differential diagnostic ... #Clinical #Radiology ... #CTChest #CHF # ... IntersitialEdema #Septal #RadiologyAssistant