Pulmonary edema

Case contributed by Dr Derek Smith

Presentation

Productive cough, green tinged. New fast AF. Bibasal crackles.

Patient Data

Age: 55 years
Gender: Female

Chest

X-ray

Marked cardiomegaly. Peribronchial cuffing, upper lobar diversion and Kerley B lines evident. Minor blunting of the right costphrenic angle but no pleural effusion. Increased bibasal opacification may represent supperadded infection, but cardiac failure is the main picture.

Case Discussion

Typical findings of pulmonary edema due to cardiac dysfunction, including cardiomegaly, peribronchial cuffing, venous distention and increased interstitial markings.

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