Pulmonary Edema
  • Pulmonary edema is common incongestive heart failure.
  • As pulmonary capillary pressures increase, the initial fluid excess is removed by increased lymphatic drainage.
  • When lymphatic system capacity is exceeded, pulmonary edema occurs. Radiographic signs include septal lines, bronchial wall thickening and subpleural pulmonary edema.
  • This radiograph illustrates generalized fissural thickening and lack of clarity of intrapulmonary vessels and septal lines. Figure and description from "Imaging Diseases of the Chest" , p. 388, by Peter Armstrong, Alan G. Wilson, and Paul Dee, Yearbook Medical Publishers, Inc. 1990.