Cardiogenic shock chest x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
The chest x ray will show pulmonary edema, pulmonary vascular redistribution, enlarged hila, Kerley's B lines, and bilateral pleural effusions in patients with left ventricular failure. In contrast, a pneumonia may be present in the patient with septic shock.
The heart may be enlarged (cardiomegaly) in the patient with tamponade. A widened mediastinum may be present in the patient with aortic dissection.
The chest x ray may also be useful in excluding a tension pneumothorax that may be associated with hypotension