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 ... a patient with signs ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
/Chest Wall: β€’ ... effusion, Pneumonia ... Sarcoid, Tumor, Pleural ... effusion, Pulmonary ... decompensated CHF
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... The following signs ... increased width of the vascular ... #Clinical #Radiology ... #CXR #CHF #Alveolar
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... redistribution of pulmonary ... edema and some pleural ... #Clinical #Radiology ... #Comparison #RadiologyAssistant
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... diameter of the pulmonary ... #Clinical #Radiology ... #Vascular #Engorgement ... #Thickening #RadiologyAssistant
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... interstitium and the pleural ... can be seen on a chest-film ... #Diagnosis #Radiology ... Findings #Diagram #RadiologyAssistant
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
Increased pulmonary ... features on the chest ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... #RadiologyAssistant
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... Bilateral pleural ... #Clinical #Radiology ... #CTChest #CHF # ... IntersitialEdema #Septal #RadiologyAssistant