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so in this video were going to talk about congestive heart failure and really what this is its when you have a heart that is failing so you had some left ventricular failure and so its gonna pump blood forward effectively so you have blood thats coming into the lungs but it cannot be pumped out that well because of this failing heart so when ends up happening this fluid ends up collecting in the lungs and that has a couple of effects you get dilation of the pulmonary vessels you get fluid that leaks into the pleural spaces and fluid that leaks into the interstitial and the alveoli and youre gonna see this show up is a couple of different things cephalization pleural effusions pulmonary McCurley beelines and the last thing you see is cardiomegaly which is as the heart starts failing more and more it just gets bigger and bigger so now lets take a look at this x-ray over here and see if we can demonstrate some of those changes the first thing I notice down here is we lose some of t