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Chest clinic
Images in Thorax
Focal pulmonary oedema: an unusual presentation of acute mitral regurgitation
  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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    Footnotes

    • 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.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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