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35 Possible Causes for Pleural Effusion on Chest X-Ray, Pulsatile Liver

  • Pulmonary Arterial Hypertension

    Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[clinicaladvisor.com]

  • Ascites

    x-ray may show pleural effusion or HF Ascitic Tap ( click here for details on how to perform and interpret an ascitic tap ) A diagnostic paracentesis, when only about 20[oxfordmedicaleducation.com] Heart failure - distended jugular veins, palpable thrills and murmurs, enlarged & pulsatile liver; constrictive pericarditis - pulsus paradoxus c.[clinicaladvisor.com] […] in ascites Blood FBC (anaemia and platelets), U&E, LFT, clotting, gas for pH Imaging Abdominal USS Liver mets, hepatic vein and artery Doppler, splenomegaly (portal HTN) Chest[oxfordmedicaleducation.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] liver palpable below the right costal margin; abdominal swelling and ascites; and visible elevation of the jugular venous pressure, sometimes with large a or v waves that[merckmanuals.com] Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation. Jaundice in advanced cases. Ascites in advanced cases.[patient.info]

  • Acute Myocarditis

    […] diversion, pleural effusions) can be seen.[explainmedicine.com] Physical exam will look like congestive heart failure, with jugular venous distention, pulmonary rales, peripheral edema, pulsatile liver, and perhaps a laterally displaced[clinicaladvisor.com] Sometimes ST segment elevation can mimic ECG changes of a myocardial infarction. [2] Chest X-ray [2] Features of heart failure (pulmonary edema, Kerley B lines, upper lobe[explainmedicine.com]

  • Tricuspid Valve Insufficiency

    Laboratory diagnostic Chest X-ray reveales the presence of cardiomegaly, increased cavity diameter straight prominent azygos vein, possible pleural effusion.[heartupdate.com] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[escardio.org] The liver may be large and pulsatile. There is usually a single first heart sound that may be increased in intensity.[patient.info]

  • Jugular Venous Distention

    effusions: Fluid that has accumulated outside the lungs in the pleural space (HF causes right-sided pleural effusions much more than left-sided) Here is a chest X-ray showing[healio.com] Tricuspid regurgitation, if significant, will be accompanied by a pulsatile liver (feel over the lower costal margin).[stanfordmedicine25.stanford.edu] […] enlargement: Cardiac size greater than half the width of the thoracic cavity (on AP films, not portable) Pulmonary edema: “Fluffy” appearance of the pulmonary vascularity Pleural[healio.com]

  • Eisenmenger Syndrome

    Chest X-ray- The left cardiac silhouette is severely enlarged occupying most of the left chest and extending well above the carinal level, at least partially due to a probably[oatext.com] A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[ncbi.nlm.nih.gov] Small pericardial/left pleural effusion and no pulmonary embolism were noted (Figure.3). Figure 1.[oatext.com]

  • Acute Pleuropericarditis

    Figure 1 X-ray chest (A): pericardial effusion (CT ratio is increased), mild left-side pleural effusion (continuous arrow).[academic.oup.com] Hepatomegaly, a pulsatile liver, clinical ascites, and bilateral lower extremity edema? Does the patient have a pericardial friction rub?[cancertherapyadvisor.com] The patient’s chest x-ray ( Figure 1 ) showed an abnormal “globular”-appearing heart with a left-sided pleural effusion.[jucm.com]

  • Cardiac Amyloidosis

    Chest X-ray showed a global enlarged heart, chronic pulmonary congestion, and right-sided pleural effusion (Fig. 1 ).[bmccardiovascdisord.biomedcentral.com] liver and 1 bilateral lower extremity pitting edema.[cathlabdigest.com] A chest x ray and CT chest with contrast revealed large bilateral pleural effusions, without evidence of infiltrative disease or pulmonary embolus.[oatext.com]

  • Portal Cirrhosis

    Non-pulsatile hepatic and portal vein waveforms in patients with liver cirrhosis: concordant and discordant relationships. Br J Radiol 2004;77:547–550. 27.[e-ultrasonography.org] A 38-year-old female with liver transplant. A, B.[e-ultrasonography.org] Spectral analysis of the main portal vein (MPV) demonstrates increased pulsatility with an elevated pulsatility index of 1.0 (difference in the peak-to-trough velocities divided[e-ultrasonography.org]

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