CXR of Heart failure

Follow1 謝建安
 Cardiomegaly

• cardiothoracic ratio >0.50

Large indistinct hilar and alveolar
pulmonary edema.
Pleural effusion
Kerley lines
 Kerley line
• Liquid accumulation
=K(Pc-Pif)-σ(πpl-πif)-Qlymph.
Cephalization
• Cephalization : The
upper lobe vessel are
more dilated than the
basilar vessel, such
as left ventricular
failure
 Peribronchial Cuffing X-ray

Before Treatment After treatment

• Peribronchial cuffing simply means that some edema

fluid has extravasated from the vessels around the
bronchi and outlined them more clearly