Pulmonary Edema With Predilection of the Right Upper Lobe

Parahilar alveolar consolidation is a known radiologic pattern found in cardiogenic pulmonary edema. We present a patient with mitral insufficiency with usual clinical findings but unusual radiologic pat­tern. The radiographic examination showed cardiomegaly with airs­pace consolidation predominantly in the right upper lobe. The cli­nical and radiologic picture recovered after treatment with diuretics. We conclude that localized pulmonary edema secondary to mitral insufficiency should be suspected in the presence of any type of airs­pace consolidation predominantly in the right upper lobe.