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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... so, on an erect PA ... a patient with signs ... #Clinical #Radiology ... #CXR #CHF #Pleural
PA view
On the PA chest-film it is important to examine all the areas where the lung
PA view On the PA ... the silhouette sign ... lymphadenopathy, pleural ... #Clinical #Anatomy ... #Radiology #CXR
Sand Storm Sign on Chest CT
 • Diffusely dense pulmonary micronodular calcifications. Note the black pleural
Note the black pleural ... line sign (arrow ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Pediatric Elbow Injuries - Elbow Xrays

Check the fat pads on the lateral projection:
1. A displaced anterior
(sail sign) is ... Not all joint effusions ... An effusion often ... Injuries #Xrays #Radiology ... peds #Pediatrics #clinical
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... : weight gain, lung ... HFrEF may lack lung ... edema, bilateral pleural ... effusions). 1/5
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... posterior fat pad ... Splint: Posterior long ... Elbow #Humerus #Radiology ... #Orthopedics #MSK
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... Thickened septal lines ... Bilateral pleural ... #Clinical #Radiology ... #CTChest #CHF #
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... position Obstructive lung ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... Xerotrachea • NSIP: Pleural ... thickening or effusion ... phenomenon (16%) MSK ... MALT Lymphoma • Lung