Presentation
A and E patient. Obese. Acutely short of breath. Apyrexic. Inspiratory crepitations in both lungs.
Patient Data
Age: 65 years
Gender: Female
From the case:
Pulmonary edema
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Bilateral perihilar airspace opacification with upper lobe venous distension.
Fluid in the horizontal fissure.
Despite the AP projection the heart is enlarged.
Case Discussion
Bilateral airspace opacification (due to alveolar edema) in both lungs centered on the perihilar regions. Upper lobe venous distension.
The appearances are classical of acute pulmonary edema.