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 fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
visible on an CXR ... Diagnosis #Radiology #Pulmonary ... #Pleural #Effusion ... Hidden #Volume #Diagram ... #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
edema due to heart ... non-cardiogenic edema ... Kerley B-lines and pleural ... #CXR #Diffuse # ... #Differential #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 effusion is seen in:
1. Pulmonary edema
2. Lymphangitic spread of carcinoma - often unilateral
3. Tuberculosis
4. Lymphangiomyomatosis
Pleural effusion ... Pulmonary edema ... Diagnosis #Radiology #Pulmonary ... #Pleural #Effusion ... #Differential #RadiologyAssistant
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
- Interstitial edema ... Stage II of CHF ... perpendicular to the pleura ... Clinical #Radiology #CXR ... #RadiologyAssistant
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
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
interstitium and the pleural ... edema. ... #CXR #Features ... #Findings #Diagram ... #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... Clinical #Radiology #CXR ... #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
redistribution of pulmonary ... , interstitial edema ... and some pleural ... Clinical #Radiology #CXR ... #Comparison #RadiologyAssistant
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
with alveolar edema ... Clinical #Radiology #CXR ... #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant