Bat wings

Case contributed by Dr Ian Bickle

Presentation

Elderly patient with know cardiac failure. Acute on chronic shortness of breath. Fluid overload?

Patient Data

Age: 87
Gender: Male
Modality: X-ray

Even allowing for the AP projection, the cardiac silhouette is enlarged. Small bilateral pleural effusions.

Bilateral perihilar consolidation/airspace change with a "bat wing" appearance.

Case Discussion

The "bat wing" appearance is used to describe the appearance of perihilar consolidation in the context of pulmonary oedema.

It typically occurs when pulmonary wedge pressures are high. It is one of the core plain radiograph features of cardiac failure.

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Case Information

rID: 50359
Case created: 2nd Jan 2017
Last edited: 5th Jan 2017
System: Chest
Tag: rdgh
Inclusion in quiz mode: Included

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