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On the left another patient with a large cardiac silhouette on the chest x-ray due to
silhouette on the chest ... effusion. ... Pericardial effusion ... CT-reconstruction #Clinical #Radiology ... #CXR #CTChest #
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... dissection - SCAD • Pericardium ... Pain: • Chest ... • Alveoli: - CHF ... • Pleura: - Effusion
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... against the anterior chest ... fat or effusion ... be seen on many chest ... #CXR #Lateral #
Pericardial effusion
Whenever we encounter a large heart figure, we should always be aware of the possibility
Pericardial effusion ... On the chest x-ray ... #Clinical #Radiology ... #CXR #CTChest # ... Pericardial #Effusion
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
absence of the pericardium ... : - CXR: leftward ... silhouette, Snoopy sign ... Congenital #absence #pericardium ... #chest #radiology
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
the only way to detect ... a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural
Pericarditis - Definition and Diagnostic Criteria
Acute Pericarditis 
 • Inflammatory pericardial syndrome to be diagnosed with
• Inflammatory pericardial ... ) pericarditic chest ... effusion (new or ... CMR). ... diagnosis #criteria #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... bilateral pleural effusions ... → no signs of CXR ... of obstructive epicardial ... diagnosis #management #cardiology
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
Inflammation of pericardium ... Pericarditis) -> Chest ... Dyspnea, pleuritic chest ... pain, pleural effusion ... pathophysiology #signs
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural