Presentation
Acute short of breath
Patient Data
Age: 90 years
Gender: Female
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/13605/annotated_viewer_json?lang=us"}
The heart is enlarged and permanent pacemaker (PPM) is in situ. The interstitial marking of the lungs are increased with numerous peripheral horizontal lines abutting the lateral pleura.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_pin":false},"extraPropsURL":"/studies/15070/annotated_viewer_json?lang=us"}
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.