19 results
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
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #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 ... #Checklist #CHF ... #Cardiogenic #HeartFailure ... #Cardiology #Management
Here another patient who had valve-replacement.
Notice the large heart size.
There is redistribution of the pulmonary vessels
redistribution of the pulmonary ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PulmonaryEdema #RadiologyAssistant
Pleural fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
visible on an CXR ... #Diagnosis #Radiology ... #Pulmonary #CXR ... PleuralEffusion #Pleural #Effusion ... Volume #Diagram #RadiologyAssistant
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
distribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
81% for acute HF ... bilateral pleural effusions ... → no signs of CXR ... Jcortesizaguirr #HFrEF #heartfailure ... diagnosis #management #cardiology
On the left another patient with congestive heart failure.
The lateral view nicely demonstrates the increased diameter
diameter of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Peribronchial ... PeribronchialCuffing #RadiologyAssistant
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
x-ray (left) and CHF ... diameter of the pulmonary ... #Clinical #Radiology ... #CXR #Lateral # ... #Thickening #RadiologyAssistant