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 effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... a patient with signs ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... effusion - Reduced ... to thickened pleura ... #differential #diagnosis ... #signs #Lung #POCUS
Main Lung Ultrasound differences between COVID-19 involvement and other conditions that may yield respiratory symptoms
 β€’
Main Lung Ultrasound ... Large pleural effusion ... COVID19 #POCUS #Lung ... #Ultrasound #Comparison ... #Table #Diagnosis
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
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
19 Findings on Lung ... ultrasound - ... effusion is rare ... #ultrasound #POCUS ... #Diagnosis #Signs
On the left a patient with CHF. 
There is an increase in heart size compared to
Other signs of CHF ... edema and some pleural ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... lesions abutting the pleura ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
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 #CXR ... #Effusion #Hidden ... Volume #Diagram #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
PA view
On the PA chest-film it is important to examine all the areas where the lung
the silhouette sign ... lymphadenopathy, pleural ... Clinical #Anatomy #Radiology ... #CXR #Normal #Labeled ... ParatrachealStripe #RadiologyAssistant