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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
#Clinical #Radiology ... #CXR #CHF #Alveolar ... Pulmonary #Edema #AlveolarEdema ... #RadiologyAssistant
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Pulmonary #Edema #AlveolarEdema ... Gravity #Dependent #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
edema - Large effusion ... nitroglycerine infusion ... (no B-lines on ultrasound ... #Checklist #CHF ... #HeartFailure #Cardiology
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
Ultrasound demonstrated ... minimal pericardial effusion ... #Clinical #Radiology ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... importantly, bedside ultrasound ... Adequate perfusion ... algorithm #management #cardiology ... #heartfailure #chf
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... Pulmonary #Edema #AlveolarEdema ... #RadiologyAssistant
There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow).
The
large pericardial effusion ... explains why the ultrasound ... #Clinical #Radiology ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant