Presentation
Intracranial hemorrhage with obstructive hydrocephalus.
Patient Data
Age: 4-year-old
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Bilateral diffuse air-space opacities sparing the apices and basal regions. Pleural spaces appear clear. Cardiomediastinal contours are unremarkable. Endotracheal and nasogastric tubes are in a good position. Temperature monitoring catheter noted.
Case Discussion
Features are those of nonspecific bilateral airspace opacities, with differentials including pulmonary edema, infection, and pulmonary hemorrhage. The clinical history of increased intracranial pressure in this ICU patient, with no increased septic markers, that guide us for non-cardiogenic pulmonary edema as the likely cause.
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