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60 Possible Causes for Distended Neck Veins, Pleural Effusion on Chest X-Ray

  • Congestive Heart Failure

    The daily dosage was adjusted on the basis of the patient's clinical response and her follow-up chest x-ray studies.[ncbi.nlm.nih.gov] veins that stick out (are distended) Sounds (crackles) from fluid buildup in your lungs, heard through a stethoscope Swelling of the liver or abdomen Uneven or fast heartbeat[medlineplus.gov] Testing may include a chest x-ray to look for cardiomegaly (an enlarged heart), pulmonary edema (fluid in the lungs), or pleural effusion (collection of fluid around the lungs[dx.doi.org]

  • Pulmonary Embolism

    He still experienced pleural effusion and had symptoms of cough and shortness of breath. Chest X-ray demonstrated bilateral pleural effusion.[ncbi.nlm.nih.gov] The clinical examination may reveal signs of acute right ventricular dysfunction, including tachycardia, a low arterial blood pressure, distended neck veins, an accentuated[doi.org] Signs that indicate pulmonary hypertension and right ventricular failure include a loud pulmonary component of the second heart sound, right ventricular lift, distended neck[emedicine.medscape.com]

  • Chronic Right-Sided Congestive Heart Failure

    On the left another patient with a large cardiac silhouette on the chest x-ray due to pericardial effusion.[radiologyassistant.nl] Distended neck veins. Bluish skin. Chest pain. Enlarged liver and swollen abdomen.[nmihi.com] Chest X-ray • Size and shape of heart • Evidence of pulmonary venous congestion (dilated or upper lobe veins perivascular edema) • Pleural effusion 29.[slideshare.net]

  • Cardiomyopathy

    RATIONALE: Left ventricular non-compaction cardiomyopathy (LVNC) is a rare heart disorder related to thrombosis. Anticoagulant therapy is suggested for the treatment of this disease. The success of the novel oral anticoagulant rivaroxaban as a treatment option for this disorder is unclear. PATIENT CONCERNS: A[…][ncbi.nlm.nih.gov]

  • Pericardial Effusion

    Radiologic examinations were carried out, and the computed tomography scan revealed a hepatomegaly and a chest X-ray showed evidence of a unilateral pleural effusion.[ncbi.nlm.nih.gov] […] symptoms of right heart failure Cardiogenic shock , asystole Beck's triad for cardiac tamponade : hypotension , muffled heart sounds , distended neck veins ![amboss.com] Figure 1 The patient's admission chest x-ray demonstrating an enlarged cardiac silhouette, evidence of bilateral pleural effusions, more prominent on the left hemithorax,[wjso.biomedcentral.com]

  • Superior Vena Cava Syndrome

    Typical physical findings: Facial edema, arm swelling, venous distention in neck and chest wall, and cyanosis Imaging studies Chest X-ray is abnormal in 75% of patients.[clinicaladvisor.com] Physical examination can reveal distended neck veins, edema of the upper extremities, while various neurological deficits may be encountered.[symptoma.com] Classic symptoms include edema, plethora, and distended veins of the face, neck, and chest; shortness of breath; cough; headache; and hoarseness.[ncbi.nlm.nih.gov]

  • Chronic Constrictive Pericarditis

    X-Ray - pericardial calcification (common but not specific), pleural effusions are common findings. [9] Echocardiography - the principal echographic finding is changes in[en.wikipedia.org] During inspiration, the neck veins become distended (normally, they collapse).[aafp.org] The veins of the neck were moderately distended in the erect position; in the supine position they were markedly so.[kundoc.com]

  • Pulmonary Edema

    With pleural effusion, you may experience: breathing difficulties a dry cough shortness of breath chest pain and discomfort A chest x-ray can help diagnose pleural effusion[healthline.com] Chest x-ray showed diffuse interstitial edema, a small right pleural effusion, and a normal heart size. She was given supplemental oxygen via face mask.[professional.diabetes.org] X-ray ( n 2477) Cardiothoracic ratio 0.5 1637 (66.1) Venous congestion 2218 (89.5) Pleural effusion 685 (27.7) Table 3 Clinical and cardiac signs and chest X-ray picture[eurheartj.oxfordjournals.org]

  • Pulmonary Infarction

    […] film common o Normal chest x-ray has a negative predictive value of only 74% o Plate-like (subsegmental, discoid) atelectasis o Lobar consolidation in lower lung zones and[learningradiology.com] Distended neck veins – If the pulmonary embolism is large enough, it will result in elevated pulmonary pressure. This will be revealed as distended neck veins.[angiologist.com] pleural effusion (most common findings with the lowest positive predictive value) o Westermark sign represents an area of oligemia (due to vasoconstriction distal to embolus[learningradiology.com]

  • Acute Massive Pulmonary Embolism

    […] and specificity of chest x-ray signs 1 : Westermark sign sensitivity: 14% specificity: 92% positive predictive value: 38% negative predictive value: 76% vascular redistribution[radiopaedia.org] Signs of acute RV dysfunction include distended neck veins, a parasternal heave, an accentuated P2, and a tricuspid regurgitation murmur.[phaonlineuniv.org] With more extensive clot burden, findings include hypotension, hypoxemia, altered mental status, and signs of RV strain (distended neck veins, tricuspid regurgitation murmur[uscjournal.com]

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