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
as peripheral short ... perpendicular to the pleura ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... Intersitial #Edema #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 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
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural ... effusion; sometimes ... #Clinical #Radiology ... Pattern #Comparison #Table ... #RadiologyAssistant
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 fluid may become encysted.
Here we see fluid entrapped within the fissure.
This can sometimes give the
Pleural fluid may ... #Clinical #Radiology ... #CXR #Lateral # ... Effusion #Fissure ... #Pseudotumor #RadiologyAssistant
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
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