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 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
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
POCUS 78 year old ... of chest pain ECG ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
β–Ί
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Liver function tests ... edema - Large effusion ... (no B-lines on ultrasound ... #Checklist #CHF ... #HeartFailure #Cardiology
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... comparison with old ... during a period of CHF ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... had gained 15 kg ... circumferential pericardial effusion ... Echocardiogram #a4c #pocus #clinical ... #cardiology
β–Ί
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
bronchograms and ill-defined ... like to look at old ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... compared to the old ... Other signs of CHF ... #Clinical #Radiology ... #Comparison #RadiologyAssistant
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
Ultrasound demonstrated ... minimal pericardial effusion ... #Clinical #Radiology ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
small pleural effusions ... #Clinical #Radiology ... Organizing #Pneumonia #ILD ... #RadiologyAssistant