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hello everybody welcome today im going to share with you the features of congestive cardiac failure on a chest x-ray now were going to start by having a look at this normal chest x-ray and i want you to imprint this image on your mind have a look at the costophrenic angles look at the lung fields the pulmonary vasculature the heart size and then we look at images later on in this talk you can think back to this image and notice the differences for yourself now i want to stress before we get started that congestive cardiac failure is a clinical syndrome its something that we diagnose clinically and we can use radiographic features to supplement that clinical information but were not going to make the diagnosis on chest x-ray or on ct scan were going to use these features to help us supplement the clinical picture so congestive cardiac failure is when someones heart has either a structural or functional anomaly that renders it unable to pump blood out effectively and perfuse end or