A Chest X-Ray causing confusion

A Chest X-Ray causing confusion

The Chest X-Ray (Figure 1) shows right unilateral pulmonary oedema with small bilateral pleural effusions. Unilateral pulmonary oedema can easily be mistaken for other pathologies such as pneumonia or pulmonary haemorrhage or even malignancy.

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References

  1. Attias D, Mansencal N, Auvert B et-al. Prevalence, characteristics, and outcomes of patients presenting with cardiogenic unilateral pulmonary edema. Circulation. 2010;122 (11): 1109-15.
  2. Miyatake K, Nimura Y, Sakakibara H et-al. Localisation and direction of mitral regurgitant flow in mitral orifice studied with combined use of ultrasonic pulsed Doppler technique and two dimensional echocardiography. Br Heart J. 1982;48 (5): 449-58.
  3. Akiyama K, Suetsugu F, Hidai T et al. Left-sided unilateral pulmonary oedema in post infarction ventricular septal rupture Chest 1994; 105:1264-1265
  4. Webb WR, Higgins CB. Thoracic Imaging, Pulmonary and Cardiovascular Radiology. Philadelphia: Lippincott Williams & Wilkins, 2005. (2005) ISBN:078174119X
  5. Genofre E, Vargas F, Teixeira L et al. Re-expansion pulmonary oedema. J Pneumol 2003; 29 (2): 101-6

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A Chest X-Ray causing confusion

27th May 2019
PMID: 31127801
Authors Affiliations
Timea Novak MD, MRCP Acute Medical Consultant, Great Western Hospital, Swindon
Catherine Strait MRCP Consultant in Acute Medicine Great Western Hospital Swindon Severn Deanery

A Chest X-Ray causing confusion

Cite this article as:

Novak T, Strait C. A Chest X-Ray causing confusion. Acute Med. 2019;18(2):120. PMID: 31127801.

A Chest X-Ray causing confusion

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