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Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
aka Pawnbroker's Sign ... paratracheal and bilateral ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... gallop rhythm), and laterally ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR
Hilum Overlay Sign on Chest X-Ray
If a mass is in contact with the pulmonary vessels then,
Hilum Overlay Sign ... contact with the pulmonary ... the silhouette sign ... Hilum #Overlay #Sign ... #radiology #CXR
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 ... #CXR #CHF #Exacerbation
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... logical sequence of signs ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #Findings #Signs
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... to interstitial edema ... Bilateral pleural ... #Clinical #Radiology ... #CTChest #CHF #
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 ... edema (“B-lines ... #heartfailure #chf
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
The following signs ... redistribution of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
left anterior and lateral ... Vital signs: BP ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest