Which symptom is NOT typically associated with left-sided heart failure?

Left-sided heart failure primarily affects the lungs and pulmonary circulation. Symptoms commonly associated with this condition include dyspnea, orthopnea, and pleural effusion.

Dyspnea refers to difficulty breathing, which occurs due to increased pulmonary congestion as the left ventricle struggles to pump blood effectively. Orthopnea is a specific type of dyspnea that occurs when lying flat, often prompting individuals to sleep propped up to alleviate symptoms. Pleural effusion, which is the accumulation of fluid in the pleural cavity, can occur as a complication of left-sided heart failure due to increased pressure in the pulmonary circulation leading to fluid leakage.

In contrast, congestive hepatosplenomegaly results from right-sided heart failure, where congestion occurs in the systemic circulation, causing blood to back up in the liver and spleen. As such, this symptom is not typically associated with left-sided heart failure, making it the correct answer to the question.