TheBody

Ground Glass Opacities Interlobular Septal Thickening Crazy Paving and Subpleural Sparing

CHF – Alveolar Edema
CT scan shows Diffuse ground glass pattern with thickening of the interlobular septa and manifesting as crazy paving pattern
Ashley Davidoff MD TheCommonVein.net 131742

Batwing Consolidation

Perihilar Alveolar Edema
70 year old female s/p cardiac arrest and ROSC. CXR shows centralised alveolar edema as a result of intra- alveolar accumulation of transudate. The centralized distribution of the infiltrates is haracteristic ofsevere heart failure – batwing distribution
Ashley Davidoff MD
TheCommonVein.net
CHF – lung consolidation
In this patient with acute congestive cardiac failure the consolidation that has hilar distribution has reminded radiologists of bat wings and is caused by alveolar edema. As a result of the fluid in the alveoli, gas exchange across the respiratory membrane is reduced and required intubation to improve the gas exchange process.  Note the endotracheal tube as well as the central venous line that is used to assess the heart pressure and monitor the congestion. 
 Ashley Davidoff MD TheCommonVein.net

 

Signs and Findings in Chest Radiology   TCV