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Negative pressure pulmonary edema

Imaging findings

Chest radiograph and CT scan show acute bilateral central and perihilar airspace consolidation without pleural effusions and with a normal-sized heart, which resolved within 24 hours.

Key takeaways

Negative pressure pulmonary edema is caused by strong inspiratory efforts against an obstructed airway (typically due to laryngospasm post-extubation). The high negative intrathoracic pressure increases venous return and hydrostatic capillary pressure, driving fluid transudation.

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