Water bottle sign (heart)
Last revised by Rohit Sharma on 29 Sep 2024
Citation, DOI, disclosures and article data
Citation:
Gaillard F, Sharma R, Ismail M, et al. Water bottle sign (heart). Reference article, Radiopaedia.org (Accessed on 06 Oct 2024) https://doi.org/10.53347/rID-15496
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rID:
15496
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Disclosures:
At the time the article was created Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosures
Last revised:
29 Sep 2024,
Rohit Sharma ◉
Disclosures:
At the time the article was last revised Rohit Sharma had no financial relationships to ineligible companies to disclose.
View Rohit Sharma's current disclosures
Revisions:
12 times, by
9 contributors -
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Synonyms:
- Water bottle configuration
- Water bottle heart
The water bottle sign or configuration refers to the shape of the cardiac silhouette on erect frontal chest x-rays in patients who have a very large pericardial effusion. Typically the effusion has accumulated over many weeks to months (e.g. in patients with malignancy) causing the pericardium to be gradually stretched and in turn may cause tamponade. The fluid, often measuring a liter or more, causes the pericardium to sag, mimicking an old-fashioned water bottle sitting on the bench.
References
- 1. Walker HK, Hall WD, Hurst JW. Clinical methods, the history, physical, and laboratory examinations. Butterworth-Heinemann. (1990) ISBN:040990077X. Read it at Google Books - Find it at Amazon
- 2. Parker MS, Chasen MH, Paul N. Radiologic signs in thoracic imaging: case-based review and self-assessment module. AJR Am J Roentgenol. 2009;192 (3 Supplement): S34-48. AJR Am J Roentgenol (full text) - doi:10.2214/AJR.07.7081 - Pubmed citation
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Cases:
- Water bottle heart
- Tuberculous pericardial effusion
- Water bottle sign of pericardial effusion
- Large pericardial effusion
- Pericardial effusion
- Pericardial effusion
- Pericardial effusion
- Pericardial effusion
- Pericardial effusion
- Pericardial effusion - water bottle sign
- Pericardial effusion - water bottle sign
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