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Discussion

Chest X-RAYS

I'm just curious about the difference between CHF and Pneumonia on X-RAY. Does any one know a good site to look at examples of these and compare? Thanks!

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You know...

Just last night at work, I was upset about an X-Ray...

Ya should probably just order them AbG'ZZ...

With pneumonia, you typically have isolated areas of consolidation. The lower lobes are common areas for pneumonia. Consolidations to the upper lobes, especially the RUL should make you suspect aspiration.

CHF can present in a variety of ways. In addition, chronic versus acute CHF may appear different. The typical film of a chronic CHF patient may have the following features:

1) Enlarged cardiac silhouette

2) Evidence of pulmonary congestion

2) Kerley's B Lines (Pulmonary Vessel engorgement)

It is also important to validate radiographic findings with clinical findings.

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