Water bottle sign (heart)

Water bottle

sign (heart) • Pericardial effusion - Ganzer Fall bei Radiopaedia

Shetty, A. Pericardial effusion. Case study, Radiopaedia.org. (accessed on 02 Nov 2022) https://doi.org/10.53347/rID-26875 • CC by-nc-sa 3.0 (modified)

Water bottle

sign (heart) • Pericardial effusion - Ganzer Fall bei Radiopaedia

Tatco, V. Pericardial effusion. Case study, Radiopaedia.org. (accessed on 02 Nov 2022) https://doi.org/10.53347/rID-43323 • CC by-nc-sa 3.0 (modified)

Water bottle

sign (heart) • Pericardial effusion - Ganzer Fall bei Radiopaedia

Jarvis, M. Pericardial effusion. Case study, Radiopaedia.org. (accessed on 02 Nov 2022) https://doi.org/10.53347/rID-44397 • CC by-nc-sa 3.0 (modified)

Water bottle

sign (heart) • Water bottle sign of pericardial effusion - Ganzer Fall bei Radiopaedia

Shah, V. Water bottle sign of pericardial effusion. Case study, Radiopaedia.org. (accessed on 02 Nov 2022) https://doi.org/10.53347/rID-57640 • CC by-nc-sa 3.0 (modified)

Water bottle

sign (heart) • Tuberculous pericardial effusion - Ganzer Fall bei Radiopaedia

Ashraf, A. Tuberculous pericardial effusion. Case study, Radiopaedia.org. (accessed on 02 Nov 2022) https://doi.org/10.53347/rID-80957 • CC by-nc-sa 3.0 (modified)

Water bottle

sign (heart) • Water bottle heart - Ganzer Fall bei Radiopaedia

Bickle, I. Water bottle heart. Case study, Radiopaedia.org. (accessed on 02 Nov 2022) https://doi.org/10.53347/rID-89721 • CC by-nc-sa 3.0 (modified)

Radiopaedia • CC-by-nc-sa 3.0 • de

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) and the pericardium has gradually stretched. The fluid, often measuring a liter or more, causes the pericardium to sag, mimicking an old-fashioned water bottle sitting on the bench.