Feb 15, 2025 · 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.

Water Bottle Heart is a descriptive term used in radiology to describe the appearance of the cardiac silhouette on a chest X-ray when it resembles the shape of a water bottle. This sign is associated with pericardial effusion, a medical condition characterized by the accumulation of fluid in the pericardial cavity surrounding the heart. [1]

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The “water-bottle” sign refers to the radiographic appearance of the cardiac silhouette which is commonly associated with pericardial effusion, but it can also be present in severe cavity dilation secondary to valvular heart disease.

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