Bat wings of pulmonary edema

Case contributed by Ian Bickle
Diagnosis certain


Acute coronary syndrome. Persistent chest pain - new oxygen requirements .Too unwell to go down - well need portable please.

Patient Data

Age: 85 years
Gender: Male

CXR 10 days earlier


Cardiomegaly despite projection.

Lungs clear.  No pleural effusions.


Cardiomegaly despite projection.

Small left sided pleural effusion.

Bilateral perihilar consolidation in a bat wing configuration.

Case Discussion

A rapid change in appearance of the chest radiograph following an acute coronary event.

The radiograph illustrates a bat wing appearance of acute pulmonary edema.

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