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

  • 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] 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] Pleural effusion Pleural effusion more evident on lateral view Pleural effusion is bilateral in 70% of cases of CHF.[radiologyassistant.nl]

  • Pulmonary Arterial Hypertension

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

  • 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]

  • 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]

  • 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] Small pericardial/left pleural effusion and no pulmonary embolism were noted (Figure.3). Figure 1.[oatext.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] […] is enlarged and may be tender or even pulsatile.[en.wikipedia.org] 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]

  • High Output Heart Failure

    A chest x-ray performed before any fluid resuscitation depicted a pulmonary edema and pleural effusion.[circ.ahajournals.org] There was no pulsatile mass nor abdominal murmur.[circ.ahajournals.org] The liver tests revealed moderate cytolysis and cholestasis and an elevated brain natriuretic peptide value of 1322 pg/mL (normal value Transthoracic echocardiography demonstrated[circ.ahajournals.org]

  • Acute Cor Pulmonale

    […] 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] liver and ascites.[phaonlineuniv.org] Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[emedicine.medscape.com]

  • Pericardial Calcification

    The chest x-ray, however, was significant for a right-sided pleural effusion and pericardial calcification, suggestive of (CP).[intjem.springeropen.com] Abdominal examination revealed an enlarged, pulsatile liver and there was flank dullness suggestive of ascites.[gastrohep.com] 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]

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