Cardiogenic pulmonary edema

Case contributed by Mina Sameh Rizk
Diagnosis almost certain


Shortness of breath

Patient Data

Age: 40 years
Gender: Female

Scout image


A scout CT image reveals left atrial enlargement seen as a double right heart border and tracheal carina splaying.

There are Kerly B septal lines located in both lungs, denoting interstitial pulmonary edema.

Annotated image

Arrows: double right heart border sign

Arrowheads: splaying of carina


Enlarged left atrium and congested pulmonary veins.

Bilateral pleural effusion.

Bilateral lung interlobular smooth septal thickening with alveolar opacities representing pulmonary edema.

Case Discussion

The findings suggest cardiogenic pulmonary edema caused by left-sided heart failure.

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