Change: There is right sided pleural opacity- possibly pleural thickening.The lateral projection image demonstrates loss of clarity of the right hemidiaphragm (silhouette(silhouette sign).sign). The arrowed opacity is not an interlobar effusion- it is a   View changes from previous version. (Word count: 805)

Change: I would argue that the fact that the patient has aThe raised right hemidiaphragm, the flattened look of the diaphragm and the concave horizontal fissure would be enough to suggest a possible subpulmonic effusion http://www.med.yale.edu/intmed/cardio/imaging/cases/pleural_effusion_subpulmonic/index.html Compare this normal right hemidiaphragm shape to   View changes from previous version. (Word count: 668)

Change: ascites" (2)ascites Case 1 This is a PA chest image. The radiographer has positioned the patient with the shoulders rolled well forward affording a good view of the lungfields. The linear opacity above the right hemidiaphragm is subsegmental atelectasis (lower white arrow). There are multiple pleural plaques associated   View changes from previous version. (Word count: 668)

Change: Gilmartin D.The serratus anterior muscle on chest radiographs. Radiology. 1979 Jun;131(3):629-35.--- under construction---IntroductionPleural effusions demonstrated with chest radiography are nothing if not commonplace. For the radiographer there can be more   View changes from previous version. (Word count: 686)

Change: There were only format changes (bold, italics, etc.) in this version. See this version for details. (Word count: 556)

Change: Locked by M.J.Fuller Nov 9 2009, 12:38 AM EST for: no reason given

Change:  a left lateral decubitus view even though it is marked "R decubitus". Artifacts and Normal Variants Simulating Pleural EffusionThis patient has prominent serratus muscles bilaterally. This apparance can be mistaken for pleural effusion or pleural thickening.http://en.academic.ru/pictures/enwiki/83/Serratus_anterior.png   View changes from previous version. (Word count: 553)

Change: Created by M.J.Fuller Nov 9 2009, 12:00 AM EST for: no reason given