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Unilateral Pulmonary Edema in Massive Bilateral Pulmonary Embolism with Lobe Sparing

Unilateral Pulmonary Edema in Massive Bilateral Pulmonary Embolism with Lobe Sparing▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Chest radiograph showed asymmetric edema/pneumonia pattern in the left upper lobe. CT revealed extensive bilateral pulmonary emboli, but no emboli in the left upper lobe.

Key takeaways

Asymmetric pulmonary edema can occur in areas of the lung spared by massive pulmonary embolism, due to asymmetric increased hydrostatic pressure in those unaffected arteries.

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