Presentation
Dyspnea.
Patient Data
Age: 60 years
Gender: Male
From the case:
Cephalization of pulmonary veins in pulmonary edema
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Normal, with normal caliber upper lobe pulmonary veins.
From the case:
Cephalization of pulmonary veins in pulmonary edema
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Interval enlargement of the heart with distension of the pulmonary vasculature with dilated upper lobe pulmonary veins, suggestive of early cardiogenic pulmonary edema.
Case Discussion
Normally, because of gravity, there is less blood flow into the upper lobes and the upper lobe pulmonary veins are small in caliber. But in left heart failure, left atrial pressure increases, resulting in distension of the upper lobe pulmonary vessels. Upper lobe pulmonary venous diversion or cephalization of the pulmonary veins is an early sign of left heart failure.
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