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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Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
perpendicular to the pleura ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... #Kerley #BLines ... Intersitial #Edema #RadiologyAssistant
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
dislocation β€’ ED Management ... 1 week MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
The retracted visceral pleura is seen (blue arrow) which indicates that there is a pneumothorax.
There is
retracted visceral pleura ... is a horizontal line ... #Clinical #Radiology ... #CXR #Pneumothorax ... Hydropneumothorax #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
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... repair MH/CCF ... #Radiology #XRay ... #Diagnosis #Management ... #Orthopedics #Sports
PA view
On the PA chest-film it is important to examine all the areas where the lung
lymphadenopathy, pleural ... #Clinical #Anatomy ... #Radiology #CXR ... ParatrachealStripe #RadiologyAssistant ... ParaAorticLine #PAView #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... edema and some pleural ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #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 ... PleuralEffusion #RadiologyAssistant
On the left another patient with congestive heart failure.
The lateral view nicely demonstrates the increased diameter
also the septal lines ... #Clinical #Radiology ... #CXR #CHF #Peribronchial ... PeribronchialCuffing #RadiologyAssistant
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
x-ray (left) and CHF ... also the septal lines ... #Clinical #Radiology ... #CXR #Lateral # ... #Thickening #RadiologyAssistant