Cardiac failure with Kerley B lines

Case contributed by Dr Lee-Anne Slater

Presentation

Patient presented acutely short of breath.

Patient Data

Age: 90
Gender: Female
X-ray

Chest x-ray on presentation

The heart is enlarged and PPM is in situ. The interstitial marking of the lungs are increased with numerous peripheral horizontal lines abutting the lateral pleura.

X-ray

Repeat chest x-ray

Subsequent film obtained one week later following treatment for cardiac failure, demonstrates resolution of the abnormality. 

Case Discussion

This case demonstrates extensive kerley B lines which subequently resolved following treatment for cardiac failure. Unfortunately many patients who are in cardiac failure do not demonstrate this many Kerley B lines, making diagnosis a little harder. 

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Case information

rID: 13720
Case created: 10th May 2011
Last edited: 30th Oct 2017
Systems: Chest, Cardiac
Inclusion in quiz mode: Included

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