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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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... looking at the lateral ... #Clinical #Radiology ... SilhouetteSign #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
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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #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
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 ... PleuralEffusion #RadiologyAssistant
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... EOM weakness and bilateral ... such as cogan sign ... and the ice pack test ... include a Tensilon test
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PA view
On the PA chest-film it is important to examine all the areas where the lung
the silhouette sign ... we will discuss later ... #Clinical #Anatomy ... ParatrachealStripe #RadiologyAssistant ... ParaAorticLine #PAView #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
A more common presentation of mucoid impaction in seen here.
This is the typical 'finger-in-glove' appearance of
#Clinical #Radiology ... #CXR #Lateral # ... FingerInGlove #Sign ... #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... Other signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #RadiologyAssistant