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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
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 ... low attenuation areas ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
Pleural fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
visible on an CXR ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Effusion #Hidden ... Volume #Diagram #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
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
edema Stage II of CHF ... perpendicular to the pleura ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... Intersitial #Edema #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... edema and some pleural ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... severe diseased areas ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... AlveolarEdema #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
Lesions may show pleural ... restricted to areas ... effusions and parenchymal ... #Clinical #Radiology ... Pneumonia #ILD #RadiologyAssistant
PA view
On the PA chest-film it is important to examine all the areas where the lung
examine all the areas ... lymphadenopathy, pleural ... Clinical #Anatomy #Radiology ... #CXR #Normal #Labeled ... ParatrachealStripe #RadiologyAssistant