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Negative Pressure Pulmonary Edema Secondary to Laryngospasm

Imaging findings

Chest radiograph demonstrates diffuse, bilateral alveolar opacities and mild cardiomegaly in a patient who recently underwent extubation. The patient quickly recovered and was discharged without intubation.

Key takeaways

Negative pressure pulmonary edema is a form of noncardiogenic pulmonary edema that classically occurs after post-extubation laryngospasm in the recovery room. The extreme negative intrathoracic pressure generated by strong inspiratory efforts against a closed glottis causes a rapid hydrostatic fluid shift into the alveoli, which typically resolves rapidly with conservative care.

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