Reexpansion Pulmonary Edema
Autor: | Tadhg Gleeson, Nestor L. Müller, Rennae Thiessen |
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Rok vydání: | 2011 |
Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Pulmonary Atelectasis medicine.medical_specialty Pleural effusion Pulmonary Edema Atelectasis Computed tomography Midline shift medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Heart Septal Defects Retrospective cohort study Middle Aged Pulmonary edema medicine.disease Pneumothorax Female Radiology Tomography Tomography X-Ray Computed business |
Zdroj: | Journal of Thoracic Imaging. 26:36-41 |
ISSN: | 0883-5993 |
Popis: | Purpose To determine the computed tomography (CT) imaging features of reexpansion pulmonary edema. Materials and methods A retrospective review was performed of 22 consecutive patients with clinical and radiologic features consistent with reexpansion pulmonary edema (14 male, 8 female; mean age, 56±22.8 y; range, 19 to 82 y) and with available CT scan images within 3 days of drainage of pleural effusion or pneumothorax. The CT images were reviewed by 2 chest radiologists with consensus for the presence, extent, and distribution of ground-glass opacities, septal thickening, consolidation, presence of persistent areas of atelectasis, vascular caliber, linear opacities, residual midline shift, and trapped lung. Results CT findings included ipsilateral ground-glass opacities (n=21, 95%), smooth septal thickening (n=17, 77%), consolidation (n=14, 68%), and persistent foci of atelectasis (n=19, 86%). Less commonly seen features included air-bronchograms (n=6, 27%) and nodules (n=5, 23%) [centrilobular, n=4 (18%); random, n=1 (4.5%)]. Contralateral abnormalities were seen in 8 cases (36%) and included ground-glass opacities in 6 patients, interlobular septal thickening in 3 patients (13.6%), and consolidation in 3 patients. Conclusions The most common CT findings of reexpansion pulmonary edema include ipsilateral ground-glass opacities, septal thickening, foci of consolidation, and areas of atelectasis. |
Databáze: | OpenAIRE |
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