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Cephalization/redistribution spotting problem

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Hey guys, I have a mild problem with spotting vascular redistribution to upper lobes in heart failure. I started working at radiology at cardiology institute and since we have a lot of patients with heart failure, I have a hard time deciding if there is vascular redistribution or not. I've had many patients, in whom two different older radiologists said two different things, one said there is a redistribution to upper lobes, one did not. Do you have any trick how to do it invariably and objectively? Thanks a lot!

submitted by /u/MaroK11
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source https://www.reddit.com/r/Radiology/comments/pqmuv8/cephalizationredistribution_spotting_problem/
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