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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
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Chest x-ray: signs ... bilateral pleural effusions ... → no signs of CXR ... diagnosis #management #cardiology
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... septal lines due to interstitial ... be high in the differential ... #Clinical #Radiology ... #CTChest #CHF #
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
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... pulmonary flow, interstitial ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... #diagnosis #differential ... algorithm #management #cardiology ... #heartfailure #chf
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... In daily clinical ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
most challenging differential ... the central dot sign ... helpfull in the differential ... #Clinical #Radiology ... #CXR #CTChest #
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