Non-cardiogenic pulmonary oedema
Intracranial haemorrhage with obstructive hydrocephalus.
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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.
Features are those of nonspecific bilateral airspace opacities, with differentials including pulmonary oedema, infection, and pulmonary haemorrhage. The clinical history of increased intracranial pressure in this ICU patient, with no increased septic markers, that guide us for non-cardiogenic pulmonary oedema as the likely cause.