Presenting PA chest radiograph of a 57-year-old woman with dyspnea and fever.
What would be your diagnosis?
1. Lobar collapse
3. Unilateral pulmonary edema
4. Any of the above
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9 thoughts on “Dr. Pepe Case 139 – Webinar”
unilateral pulmonary edema with
left sided effusion and
evidence of left upper lobe collapse.. decrease left lung volume, veil like opacity over the left lung with suspected left pleural effusion.
also there is consolidation in the right middle lobe. CT chest to evaluate left upper lobe lesions.
Left upper lobe collapse with elevation of left diaphragm, veil sign and air crescent. Left pleural effusion. Endobronchial tumor or mucus?
Next step CT
Moderate to gross left pleural effusion with contralateral mediastinal shift.
Underlying consolidation and passive atelectasis can be there.
Unilateral pulmonary oedema nad left sided pleural effusion.
There’s a left pleural effusion and we can see the Damoiseau curve, but there is a left diffuse veil of the left hemithorax. We can´t delimitate the left cardiac silhouette and there is a tracheal and cardiac displacement towards the right side… The left bronchus is horizontalized and cut off probably because of a consolidation/atelectasis of the LUL with an important pleural effusion and passive atelectasis on the right middle lobe…
unilateral pulmonary oedema