CHF, INTERSTITIAL EDEMA KERLEY B LINES and PULMONARY HYPERTENSION

47-year-old male with chest pain and dyspnea
The CXR shows LA enlargement with widening of the carina, and findings consistent with interstitial edema characterized by interstitial fuzziness, Kerley B lines and peribronchial cuffing. The straight heart border is caused by enlargement of the main pulmonary artery

 

The CT confirms the enlargement of the MPA but the other chambers are not enlarged
There is thickening of the interlobular septa, Kerley B lines, and coronary artery calcification