Emphysema and congestive cardiac failure

Case contributed by RMH Core Conditions

Presentation

Dyspnoea, dizziness and ST elevation on ECG

Patient Data

Age: 83
Gender: Female
X-ray

Chest

Cardiac size is within normal limits for mobile projection. The lungs appear emphysematous and there is mild fluid overload with upper lobe diversion but no frank pulmonary oedema. No pneumothorax.

The patient proceeded to the catheter lab where LV-gram showed severe LV failure. The patient then developed decreased oxygen saturations and bibasal creps ?APO. Repeat x-ray four hours after initial. 

X-ray

Chest

Interstitial and alveolar oedema have developed since the previous examination.

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Case information

rID: 27927
Case created: 27th Feb 2014
Last edited: 13th Mar 2016
System: Chest
Inclusion in quiz mode: Included

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