Demographics:
22 years old, Male
Indication:
Dyspnea, known malaria
Findings
Chest radiograph
- Bilateral interstitial and alveolar opacities
CT
Chest
- Diffuse interlobular septal and bronchial wall thickening
- Multifocal consolidation, most concentrated in the dependent aspects of both lungs
- Moderate-sized bilateral pleural effusions
- Small pericardial effusion
- Mildly enlarged bilateral mediastinal and hilar lymph nodes
Upper abdomen
- Heterogeneous hepatic parenchymal enhancement
MSK
- No acute findings
Diagnosis
Malarial infection with pulmonary edema, ARDS
Sample Report
Pulmonary edema, likely noncardiogenic related to the patient's diagnosis of malaria. Superimposed multifocal consolidation could relate to ARDS or bacterial pneumonia.
Moderate-sized bilateral pleural effusions.
Small pericardial effusion, which could be seen in the setting of pericarditis.
Heterogeneous hepatic parenchymal enhancement, which could represent congestion or hepatitis.
Discussion