Cardiogenic pulmonary oedema

Case contributed by Rania Adel Anan
Diagnosis almost certain

Presentation

Acute dyspnoea

Patient Data

Age: 60 years
Gender: Male
This study is a stack
Axial
non-contrast
This study is a stack
Axial lung
window
This study is a stack
Coronal
lung window
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Info

Bilateral airspace opacification in a central peribronchovascular distribution associated with smooth Interlobular septal thickening (which indicates interstitial oedema) and moderate bilateral pleural effusion. Mild cardiac enlargement also noted. 

Case Discussion

CT findings are in keeping with acute pulmonary oedema.

The main imaging differential considerations include other causes of diffuse airspace opacification:

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