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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
always visible as a meniscus ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
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
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Pleuritis • Alveoli ... : - CHF - Pneumonia ... • Pleura: - Effusion ... Diagnosis #Causes #Cardiology
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
Ultrasound demonstrated ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
70% of cases of CHF ... PA image as a meniscus ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
another patient with alveolar ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow).
The
large pericardial effusion ... explains why the ultrasound ... #Clinical #Radiology ... #CTS #CTChest #PostSurgical ... PericardialEffusion #RadiologyAssistant
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary ... Gravity #Dependent #RadiologyAssistant
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
edema - Large effusion ... nitroglycerine infusion ... (no B-lines on ultrasound ... #Checklist #CHF ... #HeartFailure #Cardiology