Images
Doctor's Information
Name : Seyyed Morteza
Family : Hashemi
Affiliation :Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree : Assistant Professor of internal medicine(pulmonologist)
Resident : mirhadi razavian
Case Section
Cardiovascular
Patient's Information
Gender : Male
Age : 67
Clinical Summary
67 Y/O women with acute respiratory distress refer to pulmonary CTA
Imaging Findings
CTA demonstrated diffused alveolar infiltration in both inferior lobs. After administration of diuretic and supportive manegment in control CT there is significant improvement.(LAST three images).
No evidence of pulmonary emboli is evident.
Differential Diagnosis
In most cases, heart problems cause pulmonary edema. But fluid can accumulate for other reasons, including pneumonia, exposure to certain toxins and medications, trauma to the chest wall, and exercising or living at high elevations.
Final Diagnosis
pulmonary edema
Discussion (Related Text)
Pulmonary edema is a condition caused by excess fluid in the lungs. This fluid collects in the numerous air sacs in the lungs, making it difficult to breathe. Pulmonary edema that develops suddenly (acute pulmonary edema) is a medical emergency requiring immediate care. Although pulmonary edema can sometimes prove fatal, the outlook improves when you receive prompt treatment for pulmonary edema along with treatment for the underlying problem. Treatment for pulmonary edema varies depending on the cause but generally includes supplemental oxygen and medications (diuretic).
References
1. Ferri FF. Ferri's Clinical Advisor 2014: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2014. https://www.clinicalkey.com. Accessed March 13, 2014.
2. Pinto DS, et al. Pathophysiology of cardiogenic pulmonary edema. http://www.uptodate.com/home. Accessed Feb. 26, 2014.
3. Givertz MM. Noncardiogenic pulmonary edema. http://www.uptodate.com/home. Accessed Feb. 26, 2014.
4. Gallagher SA, et al. High altitude pulmonary edema. http://www.uptodate.com/home. Accessed Feb. 26, 2014
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