Pulmonary edema

Case contributed by Andrew Dixon

Presentation

MET call for chest pain and shortness of breath.

Patient Data

Age: 90 years
Gender: Female
x_ray

Air space opacity most confluent in the perihilar regions and interstitial prominence. There is venous congestion and an enlarged cardiac outline. Bilateral small to moderate sized pleural effusions. Appearances are those of mixed alveolar and interstitial pulmonary edema. 

Two days earlier

x_ray

Chest x-ray two days prior shows venous congestion with upper lobe venous diversion and a small left pleural effusion but no significant alveolar or interstitial edema. 

Case Discussion

An example of acute onset alveolar and interstitial pulmonary edema with associated pleural effusions. 

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