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With pleural effusion, fluid often builds up in the costophrenic angle (due to gravity). This can push the lung upwards, resulting in "blunting" of the costophrenic angle. The posterior angle is the deepest. Obtuse angulation is sign of disease. Chest x-ray is the first test done to confirm an excess of pleural fluid.
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.
They may be seen in any zone but are most frequently observed at the lung bases at the costophrenic angles on the PA radiograph, and in the substernal region on lateral radiographs. [3] Causes of Kerley B lines include pulmonary edema, lymphangitis carcinomatosa and malignant lymphoma, viral and mycoplasmal pneumonia, interstitial pulmonary ...
Possibly a better mneumonic: (from Talley and O'Connor): A Airway (midline, no obvious deformities, no paratracheal masses), B Bones and soft tissues (no fractures, subcutaneous emphysema), C Cardiac (size, silhouette, retrocardiac density), D Diaphragms (right above left by 1-3cm, costophrenic angles sharp, diaphragmatic contrast with lung sharp).
Feroz-ul-Lughat Urdu Jamia (Urdu: فیروز الغات اردو جامع) is an Urdu-to-Urdu dictionary published by Ferozsons (Private) Limited. It was originally compiled by Maulvi Ferozeuddin in 1897. The dictionary contains about 100,000 ancient and popular words, compounds, derivatives, idioms, proverbs, and modern scientific, literary ...
Radiographic appearance is similar to that of a pleural effusion with costophrenic angle blunting and white out of lung zones. CT imaging is necessary to evaluate the structure of the empyema and evaluate for loculation or separation of the pus into different compartments. [ 10 ]
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 ...