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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
In these cases, ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #SubpulmonicEffusion
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
essentially Cardiogenic Shock ... the determined cause ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf