Fig. 2
Changes in chest radiographs during hospitalization. A Day 1 chest X-ray (Upright position) revealed pulmonary vascular congestion, peribronchial cuffing, fluffy alveolar opacities, and Kerley B lines in both lungs. B Day 5 chest X-ray (Supine position) showed consolidation in both lung fields was markedly widened, and pleural effusion tended to increase, indicating exacerbation of pulmonary edema. The patient's respiratory failure worsened, and a Swan-Ganz catheter was inserted. C Day 10 chest X-ray (Upright position) showed the degree of cardiac enlargement was reduced, the enhancement of pulmonary vascular shadows was lessened, and pleural effusions decreased. D Day 14 chest X-ray (Upright position) showed that consolidation in both lung fields further improved, and the bilateral pleural effusions disappeared