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Silhouette sign

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Hello! I am a medical student really interested in radiology! Sorry for the silly question but I was reading about this sign and my book has only one x-ray as example and only a few words about it. Can anyone please explain it? Thank you very much!!

submitted by /u/thekla6
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source https://www.reddit.com/r/Radiology/comments/gqwr15/silhouette_sign/
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