Neurogenic pulmonary edema

Case contributed by Dr Hein Els


Sudden collapse with loss of consciousness. No prior medical history.

Patient Data

Age: 55 years
Gender: Female

Endotracheal tube tip is 1cm from the carina. Retraction by approximately 3cm is suggested. Small lung volumes.

Diffuse ground glass opacification of both lungs with a pleural effusion on the left. Dense consolidation in the left lower lobe.


Hyperdensity in the subarachnoid spaces consistent with an acute subarachnoid hemorrhage. Mild hydrocephalus and brain edema. 

Case Discussion

The CT was performed within an hour of the CXR. The combination of imaging findings is suggestive of neurogenic pulmonary edema secondary to raised intracranial pressure due to a subarachnoid hemorrhage.

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Case information

rID: 39263
Published: 30th Aug 2015
Last edited: 11th Jan 2020
Inclusion in quiz mode: Included

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