Non-cardiogenic pulmonary edema

Case contributed by Dr Bruno Di Muzio

Presentation

Intracranial haemorrhage with obstructive hydrocephalus.

Patient Data

Age: 4-year-old
X-ray

Chest Radiograph

Bilateral diffuse air-space opacities sparing the apices and basal regions. Pleural spaces appear clear. Cardiomediastinal contours are unremarkable. Endotracheal and nasogastric tubes are in a good position. Temperature monitoring catheter noted. 

Case Discussion

Features are those of nonspecific bilateral airspace opacities, with differentials including pulmonary edema, infection, and pulmonary hemorrhage. The clinical history of increased intracranial pressure in this ICU patient, with no increased septic markers, that guide us for non-cardiogenic pulmonary edema as the likely cause. 

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Case information

rID: 51604
Published: 6th May 2017
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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