Radiographic differentiation between different etiologies of pulmonary edema

Robert C. Smith, Howard Mann, Richard H. Greenspan, Chris F. Pope, Henry Dirk Sostman

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

We compared the plain chest radiographs of critically ill patients who had different types of pulmonary edema and evaluated the radiographs according to a standardized score sheet of findings. We included 94 total cases of pulmonary edema: 49 with cardiogenic, 33 with permeability, and 12 with renal/overhydration pulmonary edema. Patients with cariogenic edema had enlarged hearts, vascular engorgement, septal lines, and absence of air bronchograms significantly more often than patients with permeability pulmonary edema. Renal/overhydration patients had enlarged hearts significantly more often than patients with permeability edema. There were no other statistically significant differences. Heart size and presence or absence of septal lines could have been used to distinguish cardiogenic and permeability edema in 83% of cases.

Original languageEnglish (US)
Pages (from-to)859-863
Number of pages5
JournalInvestigative Radiology
Volume22
Issue number11
DOIs
StatePublished - Jan 1 1987

Keywords

  • Lung water
  • Portable chest radiographs
  • Pulmonary edema

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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