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On the left another patient with a large cardiac silhouette on the chest x-ray due to
Pericardial effusion ... on the coronal CT-reconstruction ... #Clinical #Radiology ... #CXR #CTChest # ... PericardialEffusion #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... looking at the lateral ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
pericardial fat or effusion ... anteroinferior side on the lateral ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
On a lateral image ... evident on the lateral ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
PA view
On the PA chest-film it is important to examine all the areas where the lung
the silhouette sign ... we will discuss later ... #Clinical #Anatomy ... #Radiology #CXR ... ParatrachealStripe #RadiologyAssistant
Pleural fluid may become encysted.
Here we see fluid entrapped within the fissure.
This can sometimes give the
#Clinical #Radiology ... #CXR #Lateral # ... Effusion #Fissure ... #Pseudotumor #RadiologyAssistant
Aortopulmonary window
The aortopulmonary window is the interface below the aorta and above the pulmonary trunk and
interface below the aorta ... concave or straight laterally ... #Clinical #Radiology ... #CXR #APWindow ... Hodgkins #Lymphoma #RadiologyAssistant
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
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
Continue with the CT ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant