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Pulmonary Embolism with Regional Lung Edema

Imaging findings

Unilateral left upper lobe consolidation in an intubated patient with extensive PE in other pulmonary territories.

Key takeaways

Pulmonary embolism can alter blood flow distribution so significantly that the non-obstructed regions receive an excess of cardiac output, potentially leading to regional acute lung injury (stress failure of capillaries) rather than typical hydrostatic edema.

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