68 year old male with CHF and  Emphysema

Moderate CHF with Interstitial Edema CXR Frontal View
68 year old male with a history of emphysema presents with increasing dyspnea,  Frontal Chest X-ray shows an enlarged left atrium and diffuse interstitial thickening most prominent in the upper lobes.
There is global cardiomegaly, an enlarged main pulmonary artery indicating pulmonary hypertension and a single lead pacemaker.
Ashley Davidoff MD TheCommonVein.net  288Lu 136556

 Interstitial Edema and Centrilobular Emphysema CT

Moderate CHF with Interstitial Edema and Centrilobular Emphysema CT
68 year old male with a history of emphysema presents with increasing dyspnea.  CT  in the axial plane  shows predominant upper lobe centrilobular emphysema with diffuse thickening of the interlobular septa  .  
Ashley Davidoff MD TheCommonVein.net 288Lu 136558

Moderate CHF with Interstitial Edema CT

Moderate CHF with Interstitial Edema CT
68 year old male with a history of emphysema presents with increasing dyspnea.  CT  in the coronal plane  shows predominant upper lobe centrilobular emphysema with diffuse thickening of the interlobular septa with evidence of Kerley B lines  best exemplified in the left  lung field, and thickening of the minor fissure .  The left atrium (LA) is enlarged.  These findings are consistent with moderate CHF with interstitial edema
Ashley Davidoff MD TheCommonVein.net 288Lu 136557
Moderate CHF with Interstitial Edema CT
68 year old male with a history of emphysema presents with increasing dyspnea.  CT  in the coronal plane y shows predominant upper lobe centrilobular emphysema with diffuse thickening of the interlobular septa (b white circle) with evidence of Kerley B lines (c red arrowheads)  best exemplified in the left upper lung field, and thickening of the minor fissure (b, pink arrowhead).  The left atrium (LA) is enlarged. These findings are consistent with moderate CHF with interstitial edema
Ashley Davidoff MD TheCommonVein.net 288Lu 136557cL

CT Enlarged Left Atrium

CT Enlarged Left Atrium
68 year old male with a history of emphysema presents with increasing dyspnea.  CT  in the coronal plane  shows and enlarged left atrium.  The tip of the Swan- Ganz catheter is noted in the right pulmonary artery.  
Ashley Davidoff MD TheCommonVein.net 288Lu 136559