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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... A subpulmonic effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #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 ... #Effusion #Hidden ... Volume #Diagram #RadiologyAssistant
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
arrest with ongoing CPR ... volume to restore perfusion ... patient who has clinical ... Classification #ABCDEs ... #diagnosis #cardiology
Here another patient who had valve-replacement.
Notice the large heart size.
There is redistribution of the pulmonary vessels
#Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PulmonaryEdema #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Pleural fluid may become encysted.
Here we see fluid entrapped within the fissure.
This can sometimes give the
Pleural fluid may ... #Clinical #Radiology ... #CXR #Lateral # ... Effusion #Fissure ... #Pseudotumor #RadiologyAssistant
The retracted visceral pleura is seen (blue arrow) which indicates that there is a pneumothorax.
There is
retracted visceral pleura ... only key to the diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Hydropneumothorax #RadiologyAssistant
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
minimal pericardial effusion ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... lesions abutting the pleura ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
Lesions may show pleural ... effusions and parenchymal ... carcinoma, the diagnosis ... #Clinical #Radiology ... Pneumonia #ILD #RadiologyAssistant