Bat's wings of pulmonary oedema

Case contributed by Dr Ian Bickle

Presentation

Elderly female attends hospital acutely short of breath.

Patient Data

Age: 75
Gender: Female
Modality: X-ray

Bilateral perihilar consolidation in a 'bat's wing' configuration.

Supine projection does not allow comment on heart size.

No pleural effusions.

Case Discussion

Heart failure on the chest x-ray has several well described appearances.

a. Cardiomegaly

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.

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Case Information

rID: 26492
Case created: 23rd Dec 2013
Last edited: 9th Mar 2016
Systems: Cardiac, Chest
Inclusion in quiz mode: Included

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