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Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... : lung cancer, breast ... OTHER RARE CAUSES ... #Diagnosis #cardiology
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
pericardial fat or effusion ... This causes a density ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... In these cases, ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... bilateral in 70% of cases ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
multiple ill-defined masses ... dealing with the differential ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
The CT-image is not very helpful in the differentiation.
There are hypodense areas, which could be masses.
On
are hypodense areas ... which could be masses ... #Clinical #Radiology ... #CXR #CTChest # ... Consolidation #RadiologyAssistant
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... the determined cause ... #diagnosis #differential ... #algorithm #management ... #cardiology #treatment
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
BUN/Cr- 128/9.4. ... K 5.9 without EKG ... consider serious causes ... Echocardiogram #PLAX #clinical ... #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
BUN/Cr- 128/9.4. ... K 5.9 without EKG ... consider serious causes ... Echocardiogram #A4C #clinical ... #cardiology
When a rib fracture heals, the callus formation may create a mass-like appearance (blue arrow).
Sometimes a
formation may create ... is necessary to differentiate ... #Clinical #Radiology ... #CXR #Old #RibFracture ... #Pseudotumor #RadiologyAssistant