Bat's wings of pulmonary oedema
Elderly female attends hospital acutely short of breath.
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Bilateral perihilar consolidation in a 'bat's wing' configuration.
Supine projection does not allow comment on heart size.
No pleural effusions.
Heart failure on the chest x-ray has several well described appearances.
b. Pleural effusions
c. Upper lobe venous distension
d. Interlobular septal ( Kerly B ) lines
e. Perihilar consolidation
In only a small portion of usually the most severe cases of pulmonary oedema are the bat's wings appearance observed.