Cardiogenic pulmonary edema

Case contributed by Mostafa Elfeky
Diagnosis probable


Smoker, dyspnea.

Patient Data

Age: 45 years
Gender: Male



The heart is enlarged with prominent pulmonary vasculature.

Central pulmonary venous congestion with markedly thickened interstitial markings. Cephalisation of pulmonary veins.

No consolidation.

Mild right pleural effusion.



Enlarged cardiac size with mild pericardial effusion.

Dilated main pulmonary trunk reaching 38 mm

Bilateral pleural effusion (minimal on the left and mild on the right with areas of loculated effusion on along the right upper lobe of the right lung).

Prominent and diffuse bilateral symmetrical thickened interstitial septae and peri-lymphatic with peri-bronchial interstitial thickening and bilateral symmetrical ground glass opacities.

Case Discussion

Features are suggestive of acute marked pulmonary interstitial edema and bilateral pleural and pericardial effusions. Cardiac disease is the most considered etiology based on imaging findings.

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