Acute  CHF

50 year old female with diabetes, chronic renal failure with
acute congestive heart failure.  

Acute Moderate CHF
50-year-old female with diabetes, chronic renal failure with congestive heart failure. CT in the coronal plane shows diffuse ground glass changes, Kerley B lines at the right base, and a region of mosaic attenuation at the right heart border. The IVC is significantly distended with evidence of tricuspid regurgitation
Ashley Davidoff MD TheCommonvein.net 135776c

CT Peribronchial Cuffing

CT Peribronchial Cuffing
50 year old female with diabetes, chronic renal failure with congestive heart failure. CT in the coronal plane shows diffuse ground glass changes, with prominent peribronchial cuffing in the right upper lobe and and magnified in the lower image in the right lower lobe Prominent Kerley B lines are noted  medially – a few laterally and there is with thickening of the  right transverse fissure
Ashley Davidoff MD TheCommonvein.net 135777c

Acute Moderate CHF with
Interstitial Edema and Mosaic Attenuation

CT Acute Moderate CHF with Interstitial Edema and Mosaic Attenuation
50-year-old female with diabetes, chronic renal failure with congestive heart failure. CT in the coronal plane shows diffuse ground glass changes, Kerley B lines, edema in the fissure, peribronchial cuffing, enlargement of the pulmonary artery, and mosaic attenuation
Ashley Davidoff MD TheCommonvein.net 135778c
CT Acute Moderate CHF with Interstitial Edema and Mosaic Attenuation
50 year old female with diabetes, chronic renal failure with congestive heart failure. CT in the coronal plane shows diffuse ground glass changes, Kerley B lines, edema in the fissure, and mosaic attenuation
Ashley Davidoff MD TheCommonvein.net 135779c

Acute Moderate CHF with Interstitial Edema  Thickened Interlobular Septa and Thickened Fissure

CT Acute Moderate CHF with Interstitial Edema and Thickened Interlobular Septa
50-year-old female with diabetes, chronic renal failure and congestive heart failure. CT in the coronal plane through the posterior aspect of the chest, shows diffuse ground glass changes, thickening of the interlobular septa, thickening of the fissure and centrilobular nodules reflecting arteriolar congestion.
Ashley Davidoff MD TheCommonvein.net 135780

Acute Moderate CHF wit
Interstitial Edema and Enlarged Left Atrium

CT Acute Moderate CHF with Interstitial Edema and Enlarged Left Atrium
50-year-old female with diabetes, chronic renal failure and congestive heart failure. CT in the axial plane through the region of the left atrium, shows an enlarged left atrium measuring 4.9cms, and a ratio of the pulmonary artery to bronchus of greater than 1 suggesting pulmonary hypertension. A small complex effusion is present.
These findings suggest heart failure
Ashley Davidoff MD TheCommonvein.net 135781c

Acute Moderate CHF with
Interstitial Edema Enlarged IVC

CT Acute Moderate CHF with Interstitial Edema Enlarged IVC
50-year-old female with diabetes, chronic renal failure and congestive heart failure. CT in the axial plane through the inferior region of the right atrium, shows an enlarged IVC thickened interlobular septa at the right base and peribronchial cuffing. A small complex effusion is present.
Ashley Davidoff MD TheCommonvein.net 135782c

Acute Moderate CHF with Interstitial Edema
Pulmonary Arteriole and Venule Distension
Peribronchial Cuffing and Thickened Interlobular Septa

CT Acute Moderate CHF with Interstitial Edema
50-year-old female with diabetes, chronic renal failure and congestive heart failure. CT in the axial plane through the right posterior recess, shows thickened interlobular septa at the right base, congested arterioles, alongside the bronchioles, peribronchial cuffing, a congested pulmonary venule in the interlobular septum, ground glass changes and a secondary lobule demonstrating mosaic attenuation. The IVC is dilated and a small complex effusion is present.
Ashley Davidoff MD TheCommonvein.net 135783c
CT Acute Moderate CHF with Interstitial Edema
50-year-old female with diabetes, chronic renal failure and congestive heart failure. CT in the axial plane through the right posterior recess, shows thickened interlobular septa at the right base, congested arterioles (light blue arrowheads, b), alongside the bronchioles, peribronchial cuffing (white arrowheads, b), a congested pulmonary venule in the interlobular septum (red arrowhead arrowheads, b), ground glass changes and a secondary lobule demonstrating mosaic attenuation (black arrowhead arrowheads, b). The IVC is dilated and a small complex effusion is present.
Ashley Davidoff MD TheCommonvein.net 135783c

CT Acute Moderate CHF with Tricuspid Regurgitation

CT Acute Moderate CHF with Tricuspid Regurgitation
50-year-old female with diabetes, chronic renal failure and congestive heart failure. CT in the axial plane through the superior aspect of the liver, shows reflux of contrast into the hepatic veins consistent with tricuspid regurgitation
Ashley Davidoff MD TheCommonvein.net 135784