Near-drowning pulmonary oedema

Case contributed by Dr Yair Glick

Presentation

Motor vehicle accident, car overturned in a fish farm.

Patient Data

Age: 30-35 years
Gender: Male
CT

Patchy confluent ground-glass opacities in all segments of both lungs with perihilar predominance, consistent with near-drowning pulmonary oedema.

X-ray

Patchy alveolar opacities are also seen in this chest radiograph taken approximately 12 hours after the CT.

X-ray

Follow-up radiograph taken 3 days later

In the follow-up radiograph taken 3 days later, the alveolar opacities have resolved. There are bilateral symmetrically increased vascular markings with cephalisation, in keeping with mild pulmonary oedema.

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Case information

rID: 53842
Case created: 9th Jun 2017
Last edited: 11th Jun 2017
Systems: Chest, Forensic
Inclusion in quiz mode: Included

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