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Chest x-ray is the first test done to confirm an excess of pleural fluid. The lateral upright chest x-ray should be examined when a pleural effusion is suspected. In an upright x-ray, 75 mL of fluid blunts the posterior costophrenic angle. Blunting of the lateral costophrenic angle usually requires about 175 mL but may take as much as 500 mL.
In radiology, the deep sulcus sign on a supine chest radiograph is an indirect indicator of a pneumothorax. [ 1 ] [ 2 ] In a supine film, it appears as a deep, lucent, ipsilateral costophrenic angle [ 3 ] within the nondependent portions of the pleural space as opposed to the apex (of the lung ) when the patient is upright.
There needs to be at least 75 mL of pleural fluid in order to blunt the costophrenic angle on the lateral chest radiograph and 200 mL of pleural fluid in order to blunt the costophrenic angle on the posteroanterior chest radiograph. On a lateral decubitus, amounts as small as 50ml of fluid are possible.
The cardiophrenic angle is the angle between the heart and the diaphragm, as seen on imaging (most commonly X-ray).There are two cardiophrenic angles, however the one on the right is obscured by the cardiohepatic angle (the angle between the heart and liver).
Blunting of costophrenic angle (in adults)—Loss of sharpness of one or both costophrenic angles. Blunting can be related to a small amount of fluid in the pleural space or to pleural thickening and, by itself, is a non-specific finding (except in children, when even minor blunting may suggest active TB).
There is minimal nature of costophrenic angle blunting usually found with larger pleural effusions. The occult nature of the effusion can be suspected indirectly on radiograph by elevation of the right diaphragmatic border with a lateral peak and medial flattening.
A pleural effusion is accumulation of excessive fluid in the pleural space, the potential space that surrounds each lung.Under normal conditions, pleural fluid is secreted by the parietal pleural capillaries at a rate of 0.6 millilitre per kilogram weight per hour, and is cleared by lymphatic absorption leaving behind only 5–15 millilitres of fluid, which helps to maintain a functional ...
In biological morphology and anatomy, a sulcus (pl.: sulci) is a furrow or fissure (Latin fissura, pl.: fissurae). It may be a groove, natural division, deep furrow, elongated cleft, or tear in the surface of a limb or an organ, most notably on the surface of the brain , but also in the lungs , certain muscles (including the heart ), as well as ...