CTICasesPost-Infarct Ventricular Septal Defect (VSD)
Imaging findings
Acute onset of severe septal thickening, ground-glass opacities, and consolidation. Follow-up imaging revealed a dilated right ventricle and a large, acquired post-infarct VSD with thinning and hypo-enhancement of the inferior septum.
Key takeaways
Not all pulmonary consolidation represents pneumonia; in cases of acute respiratory failure, assess the heart for mechanical complications of myocardial infarction, such as a VSD, which can cause high-output heart failure and pulmonary edema (stress failure).
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