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Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
or middle lobe collapse ... Lymphadenopathy • Pericardial ... Pneumomediastinum, Pericardial ... effusion • CXR ... Diagnosis #pulmonary #radiology
On the left another patient with a large cardiac silhouette on the chest x-ray due to
Pericardial effusion ... CT-reconstruction #Clinical #Radiology ... #CXR #CTChest # ... Cardiomegaly #Pericardial ... PericardialEffusion #RadiologyAssistant
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... paradoxus - ECG ... show diastolic collapse ... pericardiocentesis #Pericardial ... Triad #Diagnosis #Cardiology
Pericardial cyst
Pericardial cysts are connected to the pericardium and usually contain clear fluid.
The majority of pericardial
Pericardial cyst ... recesses at the level ... #Clinical #Radiology ... #CXR #CTChest # ... #Cyst #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
cough and some fever ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... Pneumonia #PJP #RadiologyAssistant
Nontuberculous mycobacteria
Nontuberculous mycobacteria, also known as atypical mycobacteria, are all the other mycobacteria which can cause
the air-fluid level ... #Clinical #Radiology ... #CXR #Lateral # ... AirFluidLevel #RadiologyAssistant
The retracted visceral pleura is seen (blue arrow) which indicates that there is a pneumothorax.
There is
is an air-fluid level ... this air-fluid level ... #Clinical #Radiology ... #CXR #Pneumothorax ... Hydropneumothorax #RadiologyAssistant
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
RA pressure] (collapsed ... ) The exact level ... RA) where they collapse ... E.g. in a cold room ... Video #estimate #Cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
since the heart or pericardial ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
Left upper lobe atelectasis
What are the findings?
 - Minimal volume loss with elevation of the left
, which is the collapsed ... lobe #Clinical #Radiology ... #CXR #Lateral # ... LUL #Lobar #Collapse ... #APWindow #RadiologyAssistant