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Pleural Effusion: Explanation of X-ray Findings Obliteration of the costophrenic angle occurs due to the presence of pleural fluid. The fluid forms a meniscus with a concave upper border and an ascending lateral tip. As well, because of this dense opacity, the interface between the fluid and heart border/hemidiaphragm is indistinct; this is known as the silhouette sign. Unlike with consolidation, air bronchograms are not present. 📺 Subscribe To My Channel and Get More Great Quizzes and Tutorials / @med4vl Join this channel to get access to perks: / @med4vl #FOAMrad #radiology #MedEd Disclaimer: All the information provided by Medical Education for Visual Learners and associated videos are strictly for informational purposes only. It is not intended as a substitute for medical advice from your health care provider or physician. It should not be used to overrule the advice of a qualified healthcare provider, nor to provide advice for emergency medical treatment. If you think that you or someone that you know may be suffering from a medical condition, then please consult your physician or seek immediate medical attention.