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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... a patient with signs ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
scarring with pleural ... - Loculated effusion ... effusion • Atelectasis ... xray #clinical #radiology ... #CXR
Pleural fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
visible on an CXR ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Effusion #Hidden ... Volume #Diagram #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural ... effusion; sometimes ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
On the left another patient with a large cardiac silhouette on the chest x-ray due to
to pericardial effusion ... Pericardial effusion ... CT-reconstruction #Clinical #Radiology ... #CXR #CTChest # ... PericardialEffusion #RadiologyAssistant
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
#Clinical #Radiology ... #CXR #CTChest # ... FingerInGlove #Sign ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions abutting the pleura ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
On a lateral image of CXR effusion of > 75 ml could be visible- where there
lateral image of CXR ... effusion of > 75 ... least 175 ml of pleural ... PleuralEffusion #CXR ... ChestXRay #Clinical #Radiology
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
Look for other signs ... Kerley B-lines and pleural ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant