Acute pulmonary oedema

Case contributed by A.Prof Frank Gaillard

Presentation

Atrial fibrillation and shortness of breath.

Patient Data

Age: 80 years
Gender: Male
X-ray

Chest x-ray

Single lead PPM in situ. The heart is enlarged and there is marked prominence of the interstitial lines. Minimal blunting of the left costophrenic angle. 

Annotated image

Kerley lines

Kerley A lines (orange arrows), Kerley B lines (blue arrows) and Kerley C lines (green arrows) are all seen, and all represent essentially the same thing; expansion of the interstitial space by fluid. 

X-ray

Chest x-ray 10 days earlier

Single lead PPM in situ. Heart is enlarged, and there is some prominence of the pulmonary vasculature, without evidence of interstitial or alveolar oedema. 

Case Discussion

This two films demonstrate the classic appearances of acute interstitial oedema, and show how quickly this condition can develop. 

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Case information

rID: 15434
Case created: 16th Oct 2011
Last edited: 13th Jan 2016
System: Chest
Inclusion in quiz mode: Included

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