The patient demonstrated classic features of pulmonary edema including the bat's wing appearance of the hila, alveolar and insterstitial edema, upper lobe venous diversion, and a small amount of pleural effusion.

Consequent urgent echocardiography demonstrated an akinetic ventricular septum, decreased left ventricular function, and moderate mitral valve insufficiency. Considering all this the pulmonary edema was caused by the ongoing acute myocardial infarction whilst considering the elevated CRP an overlapping inflammatory component cannot be ruled out.