Clinical and radiologic features of pulmonary edema

Details

Serval ID
serval:BIB_D8E0D006C3D0
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Clinical and radiologic features of pulmonary edema
Journal
Radiographics
Author(s)
Gluecker  T., Capasso  P., Schnyder  P., Gudinchet  F., Schaller  M. D., Revelly  J. P., Chiolero  R., Vock  P., Wicky  S.
ISSN
0271-5333
Publication state
Published
Issued date
12/1999
Peer-reviewed
Oui
Volume
19
Number
6
Pages
1507-31; discussion 1532-3
Notes
Review
Gluecker, T
Capasso, P
Schnyder, P
Gudinchet, F
Schaller, M D
Revelly, J P
Chiolero, R
Vock, P
Wicky, S
United states
Radiographics : a review publication of the Radiological Society of North America, Inc
Radiographics. 1999 Nov-Dec;19(6):1507-31; discussion 1532-3. --- Old month value: Nov-Dec
Abstract
Pulmonary edema may be classified as increased hydrostatic pressure edema, permeability edema with diffuse alveolar damage (DAD), permeability edema without DAD, or mixed edema. Pulmonary edema has variable manifestations. Postobstructive pulmonary edema typically manifests radiologically as septal lines, peribronchial cuffing, and, in more severe cases, central alveolar edema. Pulmonary edema with chronic pulmonary embolism manifests as sharply demarcated areas of increased ground-glass attenuation. Pulmonary edema with veno-occlusive disease manifests as large pulmonary arteries, diffuse interstitial edema with numerous Kerley lines, peribronchial cuffing, and a dilated right ventricle. Stage 1 near drowning pulmonary edema manifests as Kerley lines, peribronchial cuffing, and patchy, perihilar alveolar areas of airspace consolidation; stage 2 and 3 lesions are radiologically nonspecific. Pulmonary edema following administration of cytokines demonstrates bilateral, symmetric interstitial edema with thickened septal lines. High-altitude pulmonary edema usually manifests as central interstitial edema associated with peribronchial cuffing, ill-defined vessels, and patchy airspace consolidation. Neurogenic pulmonary edema manifests as bilateral, rather homogeneous airspace consolidations that predominate at the apices in about 50% of cases. Reperfusion pulmonary edema usually demonstrates heterogeneous airspace consolidations that predominate in the areas distal to the recanalized vessels. Postreduction pulmonary edema manifests as mild airspace consolidation involving the ipsilateral lung, whereas pulmonary edema due to air embolism initially demonstrates interstitial edema followed by bilateral, peripheral alveolar areas of increased opacity that predominate at the lung bases. Familiarity with the spectrum of radiologic findings in pulmonary edema from various causes will often help narrow the differential diagnosis.
Keywords
Altitude Sickness/complications Cytokines/adverse effects Diagnosis, Differential Embolism, Air/complications Humans Hydrostatic Pressure Lung Diseases, Obstructive/complications Near Drowning/classification/complications Neurogenic Inflammation/complications Permeability Pneumonectomy/adverse effects Pulmonary Alveoli/physiopathology Pulmonary Edema/classification/etiology/physiopathology/*radiography Pulmonary Embolism/complications Pulmonary Veno-Occlusive Disease/complications Reperfusion Injury/complications Respiratory Distress Syndrome, Adult/complications Tomography, X-Ray Computed
Pubmed
Web of science
Create date
08/04/2008 15:38
Last modification date
20/08/2019 16:58
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