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Acta Radiologica Diagnosis 23 (1982) Fasc. 4 FROM THE DEPARTMENTS OF DIAGNOSTIC RADIOLOGY AND MEDICINE, FAGERSTA SJUKHUS, S-773 01 FAGERSTA, SWEDEN. ULTRASOUND ASSESSMENT OF LIVER VEINS IN CONGESTIVE HEART FAILURE L. HENRIKSSON, A. HEDMAN, R. JOHANSSON and K. LINDSTROM Congestive heart failure (CHF) leads to an in- CHF of varying degrees, clinically and radiographi- creased pressure in the pulmonary circulation. The cally. In this group of patients no pleural effusion radiologic findings in pulmonary venous hyperten- was detected on films exposed in lateral decubitus sion are usually typical, beginning with redistribu- position with horizontal beam direction. tion of blood flow, i.e. dilatation of upper zone The third part of the material comprised 17 pa- vessels (SIMON 1958, MILNE 1973). A further rise in tients with CHF (aged 52 to 84 years, mean 72 years) with pleural effusion on one or both sides, assessed pressure leads to interstitial oedema (KERLEY 1933, GRAINGER 1958, MILNE), and finally to pleural effu- in the lateral decubitus projection. sion. CHF also pruduces a venous congestion in the No patients with chronic obstructive lung disease systemic circulation leading to peripheral oedema. or parenchymal disorder were included, since pre- existing pulmonary disease may obscure the radio-
Acta Radiologica. Diagnosis – SAGE
Published: Aug 30, 2016
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