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Pulmonary edema

Case contributed by Townsville radiology training
Diagnosis almost certain

Presentation

Pre-operative Chest x-ray for mitral valve replacement and tricuspid valve regurge.

Patient Data

Age: 75 years
Gender: Male

Chest

x-ray

Cardiomegaly (C:T = 0.58). Left atrial enlargement as suggested by splayed carina, double right heart border, straightening of left heart border consistent with history of mitral valve regurgitation.

Small right-sided pleural effusion. Kerley B lines indicating interstitial pulmonary edema.

No opacities to suggest consolidation from infection or alveolar edema.

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