Cardiogenic pulmonary oedema

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Known case with systemic lupus erythematosus developed recent acute chest pain and dyspnoea

Patient Data

Age: 30 years
Gender: Female
This study is a stack
Coronal
lung window
This study is a stack
Axial lung
window
This study is a stack
Axial
non-contrast
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Info

Bilateral symmetrical airspace consolidation in a central peribronchovascular distribution - classical appearance of acute pulmonary oedema. 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 oedema 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.

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