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On the left another patient with a large cardiac silhouette on the chest x-ray due to
to pericardial effusion ... Pericardial effusion ... Clinical #Radiology #CXR ... #PericardialEffusion ... #RadiologyAssistant
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
Ultrasound demonstrated ... Radiology #CTS #CXR ... #Pericardial #Effusion ... #PericardialEffusion ... #RadiologyAssistant
Here another patient who had valve-replacement.
Notice the large heart size.
There is redistribution of the pulmonary vessels
Radiology #CTS #CXR ... #Pericardial #Effusion ... #PericardialEffusion ... PulmonaryEdema #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
Pericardial effusion
Whenever we encounter a large heart figure, we should always be aware of the possibility
Pericardial effusion ... of pericardial effusion ... Clinical #Radiology #CXR ... #PericardialEffusion ... #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung nodules ... cystic fibrosis (CF ... with asthma or CF ... Clinical #Radiology #CXR ... Mucus #Plugging #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... Clinical #Radiology #CXR ... #CHF #Pleural # ... #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
lower to the upper lobes ... during a period of CHF ... Clinical #Radiology #CXR ... #CHF #Cephalization ... Redistribution #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 ... #Pericardial #Effusion ... #PericardialEffusion ... #RadiologyAssistant
Artery-to-bronchus ratio 
Normally the vessels in the upper lobes are smaller than the accompanying bronchus with
vessels in the upper lobes ... and in the lower lobes ... Clinical #Radiology #CXR ... #CHF #Vascular ... #Engorgement #RadiologyAssistant