A 55 year old man is transferred to emergency following a collapse at a sporting event.
Paramedics were unable to record oxygen saturation on scene, a bystander thinks there was a pulse throughout.
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is widespread, bilateral upper lobe predominant airspace opacification.
Heart size appears normal.
An ETT is present and in a satisfactory position.
This man has acute pulmonary oedema.
ECG demonstrated (presumed new) LBBB.
Bedside echo confirmed a hypokinetic and very poor LV function in the LAD territory and he was taken to the cardiac catheterization lab.
The air bronchograms visible in the medial area of the upper lobes represent airways that are not full of fluid, surrounded by alveoli and bronchioles that are full of fluid.
Most commonly air bronchograms are associated with pneumonia.