Cardiogenic pulmonary edema

Case contributed by Mostafa El-Feky
Diagnosis almost certain


Dyspnea. History of chronic kidney disease and valvular heart disease

Patient Data

Age: 40 years
Gender: Female

Diffuse bilateral symmetrical ground-glass opacity of both lungs with interlobular septal thickening most prominent in basal lung zones.

Enlarged heart with coarse mitral valve calcifications and multiple coronary stents.

Anasarca and minimal bilateral pleural reaction.

Hepatomegaly and prominent IVC and hepatic veins. Bilateral small kidneys.

Case Discussion

The patient presented with dyspnea. Laboratory investigations revealed elevated renal functions and liver enzymes. Cardiomegaly and pulmonary changes favor acute pulmonary edema.

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