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Re-expansion Pulmonary Edema

Imaging findings

Chest radiograph and CT show rapid development of dense, unilateral, consolidative airspace opacities in the right lung immediately following the evacuation of a large, chronic pneumothorax.

Key takeaways

Re-expansion pulmonary edema is a non-cardiogenic injury that occurs when a chronically collapsed lung is rapidly re-expanded. The pathophysiology involves endothelial injury, microvascular permeability, and alveolar flooding, and treatment is supportive.

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