Presentation
Known case with systemic lupus erythematosus developed recent acute chest pain and dyspnea
Patient Data
Bilateral symmetrical airspace consolidation in a central peribronchovascular distribution - classical appearance of acute pulmonary edema. Interlobular septal thickening most prominent in basal zone of left lower lobe.
Enlarged heart with mild pericardial effusion.
Enlarged liver and anasarca.
Case Discussion
This is an example of acute pulmonary edema on CT, that occurred due to acute heart failure secondary to myocardial infarction. This young patient has a known history of systemic lupus erythematosus. There are signs of cardiac decompensation on CT such as cardiac enlargement, mild pericardial effusion, hepatomegaly, and anasarca.