Causes of pulmonary edema (141/1700)

A 60yo lady who had stroke 3 years ago now reports having increased dyspnea on exertion and
atrial fibrillation. CXR: straight left border on the cardiac silhouette. What is the most probable
dx?

a. Aortic regurgitation
b. Ischemic mitral regurgitation
c. Mitral valve prolapse
d. Pulmonary stenosis
e. Rheumatic mitral valve stenosis


























answer: E
Arrhythmia with pre-existing mitral valve disease is one of the causes of pulmonary edema
mitral stenosis CXR:
Moderate to severe stenosis is manifested by mild cardiomegaly with pulmonary venous congestion and left atrial enlargement. LAE has four characterisitc features, double atrial shadow, straight left heart upper border, an elevated left mainstem bronchus, and posterior displacement of the cardiac silhouette.