Create issue ticket

11 Possible Causes for Increased Area of Cardiac Dullness, Patient Appears Acutely Ill, 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] 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] After 8 months of treatment, her symptoms improved and the pleural effusion showed significant regression.[ncbi.nlm.nih.gov]

  • Mallory-Weiss Syndrome

    Mallory–Weiss syndrome refers to the development of mucosal tears at the gastroesophageal junction, commonly due to chronic vomiting, retching, and hiccuping. It can occur in many diseases in which vomiting is a symptom, and it is one of the most common causes of upper gastrointestinal hemorrhage. Bleeding may be[…][symptoma.com]

  • Suppurative Pericarditis

    Initial chest X-ray showed cardiomegaly, bibasilar and retrocardiac parenchymal opacities, without signs of pulmonary congestion or pleural effusion (Figure 1).[revistas.unal.edu.co] Patients are very ill appearing. The likelihood of extravascular complications is higher.[atsu.edu] Patients with large pericardial effusions have an area of increased dullness at the base of the heart in addition to generalized enlargement of the area of cardiac dullness[tele.med.ru]

  • Cardiac Tamponade

    […] her chest X-ray.[dear-medic.jp] The patient who has acute, rapid bleeding with cardiac tamponade appears critically ill and in shock.[medical-dictionary.thefreedictionary.com] 内容紹介 Summary Here we report the case of an 88-year-old female with serious respiratory discomfort who exhibited significant heart enlargement and left pleural effusion in[dear-medic.jp]

  • Acute Mediastinitis

    By plain chest X-ray films, mediastinal emphysema and pleural effusion were detected in 62.5% and 75%, respectively.[jstage.jst.go.jp] On physical examination, the patient appeared acutely ill with a clear mental status.[wjgnet.com] She had a history of daily alcohol intake equivalent to 1-2 bottles of hard liquor and she had suffered from recurrent acute pancreatitis and pseudocysts since 2008.[wjgnet.com]

  • Mediastinal Abscess

    The chest x-ray showed a widened upper mediastinum with left pleural effusion.[ispub.com] Chest X-ray revealed right-sided pleural effusion. There was no evidence of consolidation. Cardiac workup was done in view of exertional breathlessness.[jcor.in] The initial chest x-ray (Figure 1) revealed bilateral infiltrates with bilateral pleural effusions, larger on the right side.[thoracic.org]

  • 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] In the study, 19 patients were operated on for FWR, but these patients did not appear to do better than patients who did not undergo surgery.[ahajournals.org] Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[merckmanuals.com]

  • Post-Infarction Pericarditis

    […] measured at 18 mm, 20 mm, 14 mm surrounding the heart Fig. 4 Chest X ray anterior-posterior view (bedside) showing cardiomegaly with evidence of pulmonary oedema and bilateral[bmccardiovascdisord.biomedcentral.com] In the study, 19 patients were operated on for FWR, but these patients did not appear to do better than patients who did not undergo surgery.[circ.ahajournals.org] Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[merckmanuals.com]

  • Toxic Myocarditis

    : low voltage (low R-wave with poor progression) Imaging Chest x-ray and CT : cardiac enlargement, pulmonary congestion, pleural effusions Echocardiography Findings often[amboss.com] Patients are very ill appearing. The likelihood of extravascular complications is higher.[atsu.edu] […] diversion, pleural effusions) can be seen.[explainmedicine.com]

  • Acute Rheumatic Endocarditis

    A repeat chest X-ray showed cardiomegaly with globular configuration. Some linear interstitial densities centrally and bilateral pleural effusions were seen.[omicsonline.org] Patients are very ill appearing. The likelihood of extravascular complications is higher.[atsu.edu] The patient was tachycardic and tachypnoeic and so a chest X-ray and echocardiogram were performed showing a pericardial effusion, a pericardial thrombus and bilateral pleural[omicsonline.org]