Acute pulmonary edema

Case contributed by Dr Craig Hacking

Presentation

Acute on chronic SOB. Known IHD and previous CABG.

Patient Data

Age: 85-90 years
Gender: Male
X-ray

Sternotomy wires and mediastinal clips are in keeping with previous CABG.

There is increased interstitial markings through the lungs, upper zone vascular redistribution and bilateral perihilar alveolar opacification. There are also bilateral pleural effusions. The heart is enlarged  even allowing for AP projection.

Features in keeping with cardiogenic APO.

Case Discussion

Typical CXR features of acute pulmonary edema (APO).

The patient recovered well following appropriate medical therapy.

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Case information

rID: 53757
Published: 5th Jun 2017
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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