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On the left another patient with a large cardiac silhouette on the chest x-ray due to
on the coronal CT-reconstruction ... #Clinical #Radiology ... #CXR #CTChest # ... #PericardialEffusion ... #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 ... #Pericardial #Effusion ... #PericardialEffusion ... PulmonaryEdema #RadiologyAssistant
The CT-image shows a large pericardial effusion.
Always compare these post-operative chest films with the pre-operative ones.
large pericardial effusion ... #Clinical #Radiology ... #CTS #CTChest # ... #PericardialEffusion ... #RadiologyAssistant
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
#Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... #PericardialEffusion ... #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... A subpulmonic effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Pericardial effusion
Whenever we encounter a large heart figure, we should always be aware of the possibility
heart while on the CT ... #Clinical #Radiology ... #CXR #CTChest # ... #PericardialEffusion ... #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
Pleural fluid may become encysted.
Here we see fluid entrapped within the fissure.
This can sometimes give the
Pleural fluid may ... #Clinical #Radiology ... #CXR #Lateral # ... Effusion #Fissure ... #Pseudotumor #RadiologyAssistant
There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow).
The
large pericardial effusion ... #Clinical #Radiology ... #CTS #CTChest # ... #PericardialEffusion ... #RadiologyAssistant
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