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16 Possible Causes for Increased Area of Cardiac Dullness, Pleural Effusion on Chest X-Ray, Systolic Murmur

  • 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.[] […] and diastolic murmurs and radiographic cardiomegaly.[] 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[]

  • Cardiomyopathy

    In patients with congestive heart failure, chest x-ray will show signs of congestion, an enlarged cardiac silhouette and possibly pleural effusions ( Figure 3 ).[] A 40-year-old obese woman was found to have a II/VI systolic murmur that worsened with standing.[] […] dysfunction Clinical findings LV and RV failure, sudden death, Cardiomegaly Functional AV valve regurgitation S3 and/or S4 Exertional dyspnea, angina, syncope, sudden death Systolic[]

  • Dilated Cardiomyopathy

    Generalized enlargement of the heart is seen upon normal chest X-ray. Pleural effusion may also be noticed, which is due to pulmonary venous hypertension.[] Chest x-ray shows cardiomegaly, usually of all chambers.[] Pleural effusion, particularly on the right, often accompanies increased pulmonary venous pressure and interstitial edema.[]

  • Cardiomegaly

    Chest X - ray showed cardiomegaly and bilateral pleural effusion. 3.[] Cardiac auscultation reveals a regular rate and rhythm with a soft systolic ejection murmur with no gallops. He has normal capillary refill and strong femoral pulses.[]

  • Alcoholic Cardiomyopathy

    Blood tests will show signs of liver injury and confirm alcohol abuse, while chest X-ray shows pulmonary congestion, cardiomegaly and pleural effusions.[] Systolic cardiac murmurs could be heard on mitral valve area, III/6 and conducted to left axilla.[] Auscultation can help to reveal the apical murmur of mitral regurgitation and the lower parasternal murmur of tricuspid regurgitation secondary to papillary muscle displacement[]

  • Peripartum Cardiomyopathy

    Chest X-ray showed pulmonary interstitial edema, an increase in the cardiac silhouette and bilateral pleural effusion.[] On auscultation of the heart, one can hear loud first heart sound, exaggerated splitting, mid systolic murmur and continuous venous hum.[] Chest X-ray can show cardiomegaly, pulmonary congestion, and pleural effusion.[]

  • 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[] Kussmaul's sign A paradoxical increase in venous distention and pressure during inspiration. Finding associated with cardiac tamponade.[] […] diversion, pleural effusions) can be seen.[]

  • Rheumatic Valvulitis

    Chest x-ray showed cardiomegaly, cardiothoracic ratio of 156/243, with right atrial enlargement and right-sided pleural effusion.[] Kussmaul's sign A paradoxical increase in venous distention and pressure during inspiration. Finding associated with cardiac tamponade.[] This picture together with a systolic murmur, pericardial friction rub and an ESR of 118 mm/h prompted a transesophageal echocardiogram (TEE) revealing a myxomatous mitral[]

  • Suppurative Pericarditis

    Initial chest X-ray showed cardiomegaly, bibasilar and retrocardiac parenchymal opacities, without signs of pulmonary congestion or pleural effusion (Figure 1).[] 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[] In A, chest X-ray showing enlarged cardiac silhouette and bilateral pulmonary opacities; in B, chest CT scan showing bilateral pleural effusion, abundant pericardial effusion[]

  • Hemopericardium

    x-ray examination.[] Methods: The clinical exam revealed left parasternal systolic murmur, with irradiation on the entire precordial area.[] Chest x-ray findings in patients with cardiac trauma are as follows: Cardiomegaly (effusion or hemopericardium) Left ventricular failure (vascular redistribution, interstitial[]

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