Question 1631
{"accessible":true,"alternatives":[{"id":8124,"text":"cardiomegaly"},{"id":8123,"text":"cephalization of the pulmonary veins"},{"id":8122,"text":"pleural effusion"},{"id":8126,"text":"pulmonary alveolar edema"},{"id":8125,"text":"pulmonary interstitial edema"}],"archived":false,"correctAlternativeId":8122,"explanation":"\u003cp\u003eThe x-ray shows cardiomegaly and bilateral congested lungs\u0026nbsp;with cephalization of the pulmonary veins (upper lobe venous diversion), prominent interstitial lung markings and multiple Kerley B lines. \u003c/p\u003e\u003cp\u003eThe image is slightly suboptimal as the left costophrenic angle is not completely shown, but from the available image there is no pleural effusion causing blunting of the visible costophrenic angles.\u003c/p\u003e","id":1631,"imageUrl":"https://prod-images-static.radiopaedia.org/images/28774303/01e1b6e92b48ade7f125d8ddac9b99_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":51448},"imageAttributionCaseInfo":{"title":"Pulmonary edema","contributor_name":"Abeer Ahmed Alhelali","contributor_param":"al helali","case_rid":51448,"case_param":"pulmonary-oedema-7"},"firstQuestionPath":"/questions/2153","nextQuestionPath":"/articles/cardiomegaly/questions/1528","relatedArticles":[{"id":41895,"title":"Congestive cardiac failure","link":"/articles/congestive-cardiac-failure?lang=us"},{"id":18228,"title":"Upper lobe pulmonary venous diversion","link":"/articles/upper-lobe-pulmonary-venous-diversion?lang=us"},{"id":73028,"title":"Pulmonary interstitial edema","link":"/articles/pulmonary-interstitial-oedema?lang=us"},{"id":41344,"title":"Pulmonary alveolar edema","link":"/articles/pulmonary-alveolaroedema?lang=us"}],"alsoUsedIn":[{"id":654,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 654","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/654"},{"id":654,"kind":"Course","title":"2020 Virtual Conference Private Use - page 654","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/654"},{"id":1480,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1480","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1480"},{"id":1417,"kind":"Course","title":"Emergency Radiology Course - page 1417","link":"https://radiopaedia.org/courses/emergency-radiology-course-online/pages/1417"},{"id":1417,"kind":"Course","title":"Emergency Radiology Course - Melbourne - page 1417","link":"https://radiopaedia.org/courses/emergency-radiology-course-melbourne-2022/pages/1417"},{"id":1417,"kind":"Course","title":"Emergency Radiology Course - Brisbane - page 1417","link":"https://radiopaedia.org/courses/emergency-radiology-course-brisbane-2022/pages/1417"}],"stem":"\u003cp\u003eA 60-year-old man presents in the emergency department with complaints of shortness of breath. His chest x-ray\u0026nbsp;is presented\u0026nbsp;which shows all of the following features of congestive cardiac failure\u0026nbsp;\u003cstrong\u003eEXCEPT...\u003c/strong\u003e\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1631"}],"attemptsPercentages":[{"alternativeId":"8125","percentage":4},{"alternativeId":"8126","percentage":5},{"alternativeId":"8123","percentage":4},{"alternativeId":"8122","percentage":85},{"alternativeId":"8124","percentage":1}],"promptToLogin":false,"questionManager":false,"articleId":"cardiomegaly"}