Presentation
Progressive dyspnea and leg swelling, newly developed atrial fibrillation on EKG. CHF?
Patient Data
Age: 55 years
Gender: Male
From the case:
Heart failure
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Marked cardiomegaly, broadened hilar vessels, Increased bilateral, hazy interstitial markings with a basal predominance, however no unequivocal Kerley B lines.
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Prior negative exam for comparison.
Case Discussion
Typical imaging findings of congestive heart failure without frank pulmonary edema. Subsequent echocardiography showed diffuse ventricular and atrial dilation, significantly reduced left ventricular function and hypokinesis, with septal akinesis.