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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
On the left another patient with a large cardiac silhouette on the chest x-ray due to
patient with a large cardiac ... Pericardial effusion ... CT-reconstruction #Clinical ... #Radiology #CXR ... 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
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural ... effusion; sometimes ... #Clinical #Radiology ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
edema and some pleural ... supine film the cardiac ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #RadiologyAssistant
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
as peripheral short ... perpendicular to the pleura ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... Intersitial #Edema #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
Cardiac incisura ... pericardial fat or effusion ... #Clinical #Radiology ... #CXR #Lateral # ... #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 are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
pulmonary edema: cardiac ... #Clinical #Radiology ... #CXR #CHF #Vascular ... Pedicle #Width #Comparison ... VascularPedicleWidth #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... In these cases comparison ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant