Presentation
Shortness of breath and fatigue
Patient Data
Bilateral airspace opacification in a central peribronchovascular distribution is seen, associated with smooth interlobular septal thickening (which indicates interstitial edema) and bilateral moderate pleural effusions with underlying segmental basal consolidation/collapse.
Mild cardiac enlargement is noted.
Reactive mediastinal and right epiphrenic lymphadenopathy and mild cirrhotic changes of the liver are also seen.
On follow up CT six weeks later, near total resolution of the previously noted bilateral airspace opacification is seen, with a small residual pleural effusion on the right side.
Case Discussion
Initial CT findings were consistent with acute pulmonary edema.
Follow up CT after 6 weeks of treatment for pulmonary edema revealed near complete resolution.
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