50 year-old male presents with severe dyspnea and orthopnea

CXR Frontal Batwing Pattern

CXR Frontal Batwing Pattern
50 year-old male presents with severe dyspnea and orthopnea.  CXR in the frontal projection shows perihilar congestion with batwing distribution, left atrial enlargement and left ventricular configuration of the heart.  These findings are consistent with severe heart failure with a projected LVEDP of greater than 30mmHg
Ashley Davidoff MD TheCommonVein.net 285Lu 135759

CT  Batwing Pattern Severe CHF

CT  Batwing Pattern Severe CHF
50 year-old male presents with severe dyspnea and orthopnea.  CT in the coronal plane shows early severe CHF, with perihilar ground glass changes (magnified in c) and Kerley B lines (b, black arrowheads)  These findings are consistent with early severe heart failure with a projected LVEDP of greater than 30mmHg
Ashley Davidoff MD TheCommonVein.net 285Lu 135761cL

CT  Perihilar Edema  Bilateral Effusions Early Severe CHF

CT  Perihilar Edema  Bilateral Effusions Early Severe CHF
50 year-old male presents with severe dyspnea and orthopnea.  CT in the axial plane shows early severe CHF, with perihilar ground glass changes and small bilateral pleural effusions – right greater than left.  These findings are consistent with early severe heart failure with a projected LVEDP of greater than 30mmHg
Ashley Davidoff MD TheCommonVein.net 285Lu 135760