Presentation
The patient complains of pain in the rib cage right side, associated with fever since yesterday, with no trauma.
Patient Data
Consolidation in the right middle lung zone with effacement of the right heart border? (pneumonia in right middle lung lobe).
The right hemidiaphragm silhouette is clearly outlined.
Case Discussion
The ‘Silhouette sign’ is one of the most useful signs in the chest x-ray.
It is an important radiographic indicator in diagnosis in clinical medicine, whereas the effacement of the cardiac silhouette can refer to adjoining lung pathology.
In the normal case, the difference in the density between the heart and the aerated lungs enables us to clearly visualize the cardiac silhouette.