Citation, DOI and case data
Two weeks of chest pain and worsening breathlessness.
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Patchy perihilar opacification, upper lobe venous diversion, and trace fluid in the horizontal fissure are in keeping with pulmonary edema.
Degenerative change at the right acromioclavicular joint.
The patient had a raised troponin and was treated for non-ST elevation myocardial infarction. After a trial of medical management, he underwent coronary angiography and had a stenosed left anterior descending artery stented.
Pulmonary edema as seen in this case is a common feature of acute coronary syndromes, as the reduced pumping efficiency of the ischemic heart muscle causes buildup of fluid in the pulmonary vasculature.