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Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
Ultrasound demonstrated ... effusion. ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... #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
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
There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow).
The
effusion, which ... explains why the ultrasound ... #Clinical #Radiology ... #CTS #CTChest # ... #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 ... ValveReplacement #Pericardial ... #Effusion #PericardialEffusion ... PulmonaryEdema #RadiologyAssistant
Coccidiomycosis - Diagnosis
Diagnosis:
 • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%)
 •
normal (95%) • CXR ... of cavity into pleural ... liver, pancreas, pericardium ... Urine & Blood & CSF ... Puncture only if CNS
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... edema, bilateral pleural ... effusions). 1/5 ... pts w/ acute HF ... → no signs of CXR
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... There is pleural ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema ... Interstitial #Edema #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 ... AlveolarEdema #RadiologyAssistant