![]() ![]() Get an ultrasound or chest Computed Tomography (CT) to confirm. Look for water-bottle-shaped heart on PA plain film, suggestive of pericardial effusion.Note the lymph nodes, look for subcutaneous emphysema (air density below the skin), and other lesions.A heart with a diameter greater than half thoracic diameter is an enlarged heart.A normal cardiac silhouette occupies less than half the chest width. X Expert Source Ni-Cheng Liang, MDīoard Certified Pulmonologist Expert Interview. The 10 CXR diagnosis that were shown were: congestive cardiac failure, normal, lung cancer with ribs metastases, bilateral pneumothoraces, left lower lobe. Look at the size of the cardiac silhouette (white space representing the heart, situated between the lungs).Figure 3: Chest x-ray showing patchy opacification on the upper right and mid-zone lung with fibrotic shadows, both hilar. Figure 2: Chest x-ray showing bilateral hilar adenopathy of primary pulmonary TB. The silhouette sign is basically the elimination of the silhouette or loss of lung/soft tissue interface, that occurs after a mass or flood in the lung. Figure 1: Chest x-ray showing dense homogenous opacity in right, middle and lower lobe of primary pulmonary TB. Also, look at the external soft tissues for any abnormalities. Observe whether a radiopacity is obscuring the heart's border, in the right middle lobe and left lingula pneumonia, for example. Examine the edges of the heart the silhouette margins should be sharp. This article has been viewed 1,177,420 times.Ĭheck the heart and look for the cardiac silhouette sign. This article received 15 testimonials and 85% of readers who voted found it helpful, earning it our reader-approved status. WikiHow marks an article as reader-approved once it receives enough positive feedback. There are 13 references cited in this article, which can be found at the bottom of the page. Purpose To examine Generative Visual Rationales (GVRs) as a tool for visualizing neural network learning of chest radiograph features in congestive heart failure (CHF). She was also awarded the 2019 American Lung Association San Diego Lung Health Provider of the Year. Liang was voted as a San Diego Top Doctor in 20. Liang received her Doctor of Medicine (MD) from the University of Maryland School of Medicine. Liang specializes in pulmonary and respiratory medical concerns, mindfulness teaching, physician wellness, and integrative medicine. She also serves as a Voluntary Assistant Professor of Medicine at the University of California San Diego School of Medicine while volunteering for the UCSD Medical Student-Run Free Clinic for uninsured patients. Ni-Cheng Liang is a board certified Pulmonologist and the Director of Pulmonary Integrative Medicine at Coastal Pulmonary Associates affiliated with the Scripps Health Network in San Diego, California. This article was co-authored by Ni-Cheng Liang, MD.
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