Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
70% of cases of CHF ... On a lateral image ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Apical approach had best ... In-plane off lateral ... Echocardiogram #A4c ... #clinical #cardiology ... #effusion #pericardial
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Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
pericardial fat or effusion ... anteroinferior side on the lateral ... #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 ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Pleural fluid may become encysted.
Here we see fluid entrapped within the fissure.
This can sometimes give the
#Clinical #Radiology ... #CXR #Lateral # ... Effusion #Fissure ... #Pseudotumor #RadiologyAssistant
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
x-ray (left) and CHF ... The lateral view ... #Clinical #Radiology ... #CXR #Lateral # ... #Thickening #RadiologyAssistant
On the left another patient with congestive heart failure.
The lateral view nicely demonstrates the increased diameter
The lateral view ... #Clinical #Radiology ... #CXR #CHF #Peribronchial ... PeribronchialCuffing #RadiologyAssistant
The location of the cardiac valves is best determined on the lateral radiograph.
A line is drawn
cardiac valves is best ... enlargement of the left atrium ... #Clinical #Diagnosis ... #Radiology #CXR ... #Mitral #MVR #RadiologyAssistant
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
thickening and biatrial ... appearance of heart on CXR ... large pericardial effusion ... Cardiac #POCUS #clinical ... #A4C
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Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
findings are: - bilateral ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant