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28 Possible Causes for Increased Area of Cardiac Dullness, Pleural Effusion

  • Congestive Heart Failure

    A 79-year-old woman experienced episodic dyspnea with unilateral pleural effusion for 2 years.[ncbi.nlm.nih.gov] Computed tomography and X-ray of the thorax showed left-sided pleural effusion.[ncbi.nlm.nih.gov] effusion · Decrease in vital capacity by one third from maximum recorded · Tachycardia (heart rate 120 beats/min.)[web.archive.org]

  • Cardiomyopathy

    Associated pleural effusions may also be seen.[radiopaedia.org] effusions Cardiac catheterization with pressure measurements Possible myocardial biopsy to identify underlying cause Treatment References: [1] [3] [16] [17] Arrhythmogenic[amboss.com] Pulmonary multi-detector computed tomography angiography excluded acute pulmonary embolism but revealed bilateral pulmonary infiltration and pleural effusion suggesting acute[scielo.mec.pt]

  • Pericardial Effusion

    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] Pleural fluid accumulation persisted despite a tube thoracostomy for pleural effusion drainage.[ncbi.nlm.nih.gov] Eosinophilic pleural effusions (EPE) account for 5%-8% of all exudative pleural effusions.[ncbi.nlm.nih.gov]

  • Mallory-Weiss Syndrome

    effusion, Mediastinal widening, Subcutaneous emphysema, Nacleiro sign [a V-shaped radiolucency seen through the heart representing air in the left lower mediastinum that[prep4usmle.com] […] thorax Tears are vertically oriented, 1-4 cm in length Almost all (90%) occur along the left posterolateral wall of the distal esophagus X-ray : Mediastinal emphysema, Left pleural[prep4usmle.com] […] thorax Tears are vertically oriented , 1-4 cm in length Almost all (90%) occur along the left posterolateral wall of the distal esophagus X-ray : Mediastinal emphysema, Left pleural[prep4usmle.com]

  • Malignant Pericardial Effusion

    In 2005 she presented with a malignant pericardial and pleural effusions, which were treated with a thoracotomy and pericardial window.[ncbi.nlm.nih.gov] Mitoxantrone is reported as having potential in malignant pleural effusion.[ncbi.nlm.nih.gov] A left or bilateral pleural effusion occurred in all patients after PBPW. No patient developed recurrent pericardial tamponade at a mean follow-up of 6 /- 2 months.[ncbi.nlm.nih.gov]

  • Acute Mediastinitis

    […] fistula with massive pleural effusion or hemothorax and extension of pseudocyst into the mediastinum.[ncbi.nlm.nih.gov] (27.5%), pleural effusions (85%), lung infiltrates (35%), sternal dehiscence (40%), and pleuromediastinal fistula (2.5%).[ncbi.nlm.nih.gov] The patient in our cases did not have sufficient pleural effusion to suggest pancreatitis, although chest CT showed a specific loculated form of pleural effusion.[wjgnet.com]

  • Suppurative Pericarditis

    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] […] by moderate bilateral pleural effusion.[ncbi.nlm.nih.gov] , malignant pleural effusion, chylothorax or hemothorax.[clinicaladvisor.com]

  • Cardiac Tamponade

    White arrow: right atrial collapse due to pleural effusion. Black arrow: minimal pericardial effusion.[revespcardiol.org] We are reporting two patients with lung cancer who were treated with nivolumab and experienced rapidly accumulating recurrent pleural effusions requiring multiple thoracenteses[ncbi.nlm.nih.gov] Cardiac tamponade is a common and often life-threatening process, which is typically associated with a pericardial effusion or, in rare cases, with a large pleural effusion[ncbi.nlm.nih.gov]

  • Mediastinal Abscess

    We present a case of conservative treatment in an 82-year-old woman with cervical esophagus rupture associated with mediastinal abscess and bilateral pleural effusion resulting[ncbi.nlm.nih.gov] effusion, not elsewhere classified J91 Pleural effusion in conditions classified elsewhere J91.0 Malignant pleural effusion J91.8 Pleural effusion in other conditions classified[icd10data.com] Computerized tomography (CT) scan of the chest showing bilateral pleural effusions, pulmonary consolidation, pericardial effusion, and gas in the pericardial space.[anesthesiology.pubs.asahq.org]

  • Scoliosis

    Unexpectedly, this revealed a right lower lobe pneumonia and associated pleural effusion.[ncbi.nlm.nih.gov] Google Scholar D'Souza R, Doshi A, Bhojraj S, Shetty P, Udwadia Z: Massive pleural effusion as the presenting feature of a subarachnoid-pleural fistula.[dx.doi.org]

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