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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On the left another patient with a large cardiac silhouette on the chest x-ray due to
chest x-ray due to pericardial ... effusion. ... Pericardial effusion ... Clinical #Radiology #CXR ... #RadiologyAssistant
Malignant Pericardial Effusion causing Tamponade on POCUS

Parasternal long with some RV collapse explaining this cancer patient's
Malignant Pericardial ... Effusion causing ... Parasternal long ... #Effusion #Malignant ... Cardiac #Tamponade #Echocardiogram
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Mediastinal Widening - Differential Diagnosis

 β€’ Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
anourysm, Enlarged pulmonary ... duplicated SVC) β€’ Pulmonary ... Lymphadenopathy β€’ Pericardial ... Pneumomediastinum, Pericardial ... effusion β€’ CXR
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the chest the lung ... since the heart or pericardial ... fat or effusion ... Clinical #Radiology #CXR ... Cardiac #Incisura #RadiologyAssistant
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS Echocardiogram ... distance away from lung ... Pericardiocentesis #POCUS #Echocardiogram ... clinical #cardiology #effusion ... #pericardial
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Large pleural effusion on POCUS Echocardiogram - Parasternal Long Axis

On parasternal long axis, use the descending
on POCUS Echocardiogram ... - Parasternal Long ... On parasternal long ... behind the aorta, pericardial ... #POCUS #Echocardiogram
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Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Evaluation of Pulmonary ... β€’ Evaluate for pericardial ... effusion β€’ Evaluate ... Shah @HFpEF #Pulmonary ... diagnosis #cardiology #echocardiogram
Here another patient who had valve-replacement.
Notice the large heart size.
There is redistribution of the pulmonary vessels
redistribution of the pulmonary ... Radiology #CTS #CXR ... ValveReplacement #Pericardial ... #Effusion #PericardialEffusion ... PulmonaryEdema #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
bubble and the lung ... diaphragm and the lung ... bubble to the lung ... Clinical #Radiology #CXR ... SubpulmonicEffusion #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
There is a lung ... with a cystic lung ... airways leading to pulmonary ... Clinical #Radiology #CXR ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant