Presentation
Reduced oxygen saturations, bilateral crepitations and reduced air entry on auscultation bilaterally. Three week history of worsening shortness of breath on exertion and bilateral pedal edema.
Patient Data
There is perihilar air space opacification seen bilaterally with a small left pleural effusion. Appearances are suggestive of pulmonary edema.
Case Discussion
This patient presented with reduced oxygen saturations to the emergency department after a 3 week history of progressive dyspnea and was diagnosed with acute pulmonary edema secondary to heart failure, which was confirmed via echocardiogram. They were successfully treated with IV furosemide.
Some classic features of pulmonary edema are demonstrated on this chest x-ray: pleural effusion and perihilar opacification. Other common features include upper lobe diversion and cardiomegaly (heart size was unable to be accurately assessed on these films).
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