Article Text
Chest clinic
Images in Thorax
Focal pulmonary oedema: an unusual presentation of acute mitral regurgitation
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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 …
Footnotes
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Contributors PDM and KSC conceived the idea for the manuscript. PDM and DRW wrote the manuscript. KSC critically revised the manuscript. All authors gave final approval of the version to be published.
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Competing interests None.
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Patient consent Obtained.
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Provenance and peer review Not commissioned; internally peer reviewed.
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