Acute pulmonary edema

Case contributed by Assoc Prof Craig Hacking

Presentation

Acute on chronic shortness of breath. Known ischemic heart disease and previous CABG.

Patient Data

Age: 90 years
Gender: Male

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 acute pulmonary edema (APO).

Case Discussion

Typical radiographic features of acute pulmonary edema.

The patient recovered well following appropriate medical therapy.

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