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On the left another patient with a large cardiac silhouette on the chest x-ray due to
CT-reconstruction #Clinical ... #Radiology #CXR ... #CTChest #Cardiomegaly ... #PericardialEffusion ... #RadiologyAssistant
The CT-image shows a large pericardial effusion.
Always compare these post-operative chest films with the pre-operative ones.
large pericardial effusion ... #Clinical #Radiology ... #CTS #CTChest # ... #PericardialEffusion ... #RadiologyAssistant
Pericardial effusion
Whenever we encounter a large heart figure, we should always be aware of the possibility
On the chest x-ray ... #Clinical #Radiology ... #CXR #CTChest # ... #PericardialEffusion ... #RadiologyAssistant
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 ... #PericardialEffusion ... PulmonaryEdema #RadiologyAssistant
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
#Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... #PericardialEffusion ... #RadiologyAssistant
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
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... pericardial fat or effusion ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
70% of cases of CHF ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
cystic fibrosis (CF ... with asthma or CF ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant