Acute pulmonary oedema
Acute on chronic SOB. Known IHD and previous CABG.
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Sternotomy wires and mediastinal clips are in keeping with previous CABG.
There is increased interstitial markings through the lungs, upper zone vascular redistribution and bilateral perihilar alveolar opacification. There are also bilateral pleural effusions. The heart is enlarged even allowing for AP projection.
Features in keeping with cardiogenic APO.
Typical CXR features of acute pulmonary oedema (APO).
The patient recovered well following appropriate medical therapy.