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Chest clinic
Images in Thorax
Focal pulmonary oedema: an unusual presentation of acute mitral regurgitation
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  1. Paul D Morris1,2,
  2. David R Warriner1,2,
  3. Kevin S Channer1
  1. 1Department of Cardiology, Royal Hallamshire Hospital, Sheffield, UK
  2. 2Medical Physics Group, Department of Cardiovascular Science, University of Sheffield, Medical School, Sheffield, UK
  1. Correspondence to Dr David R Warriner, Medical Physics Group, Department of Cardiovascular Science, I Floor, University of Sheffield, Sheffield S10 2JF, UK; d.r.warriner{at}sheffield.ac.uk

https://doi.org/10.1136/thoraxjnl-2012-202420

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    A 46-year-old man presented with dyspnoea, haemoptysis, orthopnoea and a pan-systolic murmur. His chest radiograph (see figure 1) demonstrated asymmetric pulmonary infiltrates, predominantly affecting the right-upper lobe. He was diagnosed with lobar-pneumonia but failed to improve with antibiotic therapy. Echocardiography subsequently demonstrated severe mitral regurgitation (MR), directed towards …

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