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
to pericardial effusion ... Pericardial effusion ... CT-reconstruction #Clinical ... #Radiology #CXR ... PericardialEffusion #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
#Clinical #Radiology #CXR #Opacification #Air #Bronchogram #AirBronchogram #PleuritisCarcinomatosa #Carcinomatosa #Effusion #RadiologyAssistant
#Clinical #Radiology ... #CXR #Opacification ... Carcinomatosa #Effusion ... #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
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
edema Stage II of CHF ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... Intersitial #Edema #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
pericardial fat or effusion ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
of right-sided HF ... #physicalexam #clinical ... #video #jvp #cardiology ... #neck #jugular
β–Ί
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
cystic fibrosis (CF ... with asthma or CF ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
Here another patient who had valve-replacement.
Notice the large heart size.
There is redistribution of the pulmonary vessels
#Clinical #Radiology ... #CTS #CXR #PostSurgical ... #Pericardial #Effusion ... PulmonaryEdema #RadiologyAssistant
Pleural fluid may become encysted.
Here we see fluid entrapped within the fissure.
This can sometimes give the
#Clinical #Radiology ... #CXR #Lateral # ... Effusion #Fissure ... #Pseudotumor #RadiologyAssistant