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Radiology · Chest radiography
Sample itemWhat finding suggests pleural effusion on an erect chest radiograph?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Blunted costophrenic angle
Pleural fluid layers dependently and commonly blunts the costophrenic angle, with larger effusions showing a meniscus along the lateral chest wall.
Option by option
A. Blunted costophrenic angle (correct)
Correct: pleural fluid blunts the costophrenic angle.
B. Visible pleural line
A visible pleural line suggests pneumothorax.
C. Rib notching
Rib notching has other vascular or congenital associations.
D. Hyperlucent apex
Hyperlucent apex may suggest air rather than fluid.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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