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50-year-old male with CAD and CHF

The CXR shows LA enlargement with widening of the carina, and findings consistent with interstitial edema characterized by interstitial fuzziness, Kerley B lines and peribronchial cuffing
CHF, INTERSTITIAL EDEMA KERLEY A and B

Ashley Davidoff MD

CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD

 

The CT shows a LA that is enlarged (between 4.1-4.4cms), heavy LAD calcification, diffuse ground glass changes, thickening of the interlobular septa, Kerley A and Kerley B lines, and small bilateral effusions, right slightly greater than the left

LA measures between 4.2 and 4.5cms
Ashley Davidoff MD
EXTENSIVE LAD CALCIFICATION
Ashley Davidoff MD

 

DIFFUSE GROUND DISEASE WITH REGIONS OF NORMAL LUNG
CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD

 

THICKENING OF THE INTERLOBULAR SEPTA (red arrows) WITH EXTENSION TO THE BRONCHOVASCULAR BUNDLE (yellow arrow)
CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD
KERLEY A (yellow arrow) subtending the SECONDARY LOBULE ((blue arrows) that show MOSAIC PERFUSION.
Fissures are indicated by the green arrows)
CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD
SECONDARY LOBULES WITH THICKENED INTERLOBULAR SEPTA (red arrows) CENTRILOBULAR BRONCHIOLES (light blue arrows) and ARTERIOLES (dark blue arrows)
CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD
CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD
CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD
CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD
CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD
CHF, INTERSTITIAL EDEMA KERLEY A and B
Ashley Davidoff MD