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Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
x-ray (left) and CHF ... diameter of the pulmonary ... #Clinical #Radiology ... #CXR #Lateral # ... CHF #Vascular #Engorgement
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
resolved after treatment ... difference in vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Cathepsin G release → vascular ... common • Imaging: CXR ... - pulmonary opacities ... sepsis), PE, DAH, CHF
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... causing hypovolemia needing ... essentially Cardiogenic Shock ... #foamed #heartfailure ... #chf #criticalcare
Artery-to-bronchus ratio 
Normally the vessels in the upper lobes are smaller than the accompanying bronchus with
redistribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Vascular ... #Engorgement #RadiologyAssistant
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
or dilated) • Valvular ... cardiomyopathy • Pulmonary ... May have typical HF ... Pts: cardiogenic shock ... #treatment
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
increased width of the vascular ... After treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
⚠️ Cardiogenic shock ... vessels, harms heart cells ... Relaxin: reduces vascular ... congestion on a CXR ... Cardiomyopathy #Cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Simultaneous clotting and bleeding ... interventional radiology ... “big & sticky” cells ... - Occurs after CAR-T ... renal failure, pulmonary