Unilateral airspace opacification

Case contributed by Henry Knipe
Diagnosis certain

Presentation

OOHVFA.

Patient Data

Age: 50 years
Gender: Female

Extensive right lung airspace opacity, with air bronchograms. No pneumothorax. No rib fracture. Prominent vascular markings at the hilum, although this is a supine projection.      

ETT tip projects between the medial ends of the clavicles. Right internal jugular CVC with tip in the proximal SVC. NGT tip in the stomach.

Case Discussion

Given the history of VF arrest, the differential includes includes aspiration, infection, and unilateral pulmonary edema, although the latter is common it is probably most likely in this case. 

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