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
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
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 ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #RadiologyAssistant
Especially in patients who had recent cardiac surgery an enlargement of the heart figure can indicate
Ultrasound demonstrated ... #Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PericardialEffusion #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... comparison with old ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
#Clinical #Radiology ... #CXR #CTChest # ... UsualInterstitialPneumonitis #Usual ... Pneumonitis #Reticular #ILD ... #RadiologyAssistant
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... compared to the old ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema ... Interstitial #Edema #RadiologyAssistant
There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow).
The
large pericardial effusion ... left ventricle id ... explains why the ultrasound ... #Clinical #Radiology ... PericardialEffusion #RadiologyAssistant
Artery-to-bronchus ratio 
Normally the vessels in the upper lobes are smaller than the accompanying bronchus with
This is best visible ... #Clinical #Radiology ... #CXR #CHF #Vascular ... #Engorgement #RadiologyAssistant