ADMIN - BHARATH RAJ KIDAMBI
MBBS - SSR MEDICAL COLLEGE MAURITIUS
MD - INTERNAL MEDICINE - MADRAS MEDICAL COLLEGE
DM - CARDIOLOGY - AIIMS NEW DELHI

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Friday, July 15, 2011

PrePgMedicos Forum - • View topic - OPACITIES ON CHEST X-RAY

PrePgMedicos Forum - • View topic - OPACITIES ON CHEST X-RAY: "Radiological Grading of Pulmonary Edema
Grade 1--- Prominence of Upper Lobe veins
Reverse Mustache Sign
Stag Antler’s Sign

Grade 2 (Interstitial Edema)----Kerley A Lines – thin non branching lines radiating from the hilum
Kerley B Lines – Transverse thin lines of 1 to 3 cm, seen at the lung bases, lying perpendicular to the pleur
Blurring of the outline of the central pulmonary vessels and hilum due to perivascular edema
“Endo bronchial cuffing” – blurring seen around the end-on view of bronchi

Grade 3 (Alveolar Edema) Bilateral fluffy shadows in the lung fields
Confluence of fluffy shadows around hilum giving the “bat’s wing” appearance (bilateral perihilar opacity dense at the hilum, fading towards periphery)
Pleural effusions at uncommon sites like lamellar effusion, interlobaar effusion and sub pulmonic effusion. Interlobar effusion might give the appearance of a tumour, but it disappears with treatment (hence called “Phantom”, “disappearing” or “vanishing” tumours)."

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