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Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... murmur of valvular regurgitation ... Chest x-ray: signs ... → no signs of CXR
Air Bronchogram Sign on Chest CT
 • Patent airways surrounded by opacified lung
 • DDx: pna,
Air Bronchogram Sign ... DDx: pna, pulm edema ... #Bronchogram #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... bronchiectasis, CF ... #Tram #Track #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
CT will also demonstrate ... signs of congestive ... #Clinical #Radiology ... #CTChest #CHF # ... IntersitialEdema #Septal #RadiologyAssistant
Crazy Paving on Chest CT
 • Thickened interlobular septa in a background of diffuse GGO's.
 •
Paving on Chest CT ... DDx: PAP, pulm edema ... Crazy #Paving #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... , interstitial edema ... #Clinical #Radiology ... #Comparison #RadiologyAssistant
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
logical sequence of signs ... chronic obstructive lung ... #CHF #CXR #Stages ... #Findings #Signs ... #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... ECG is vital while ... #heartfailure #chf