Primary Article

Adult Respiratory Distress Syndrome Radiologic Manifestations and Course

Authors: THOMAS H. JOHNSON MD, TIM L. TYTLE MD, RICHARD E. COOKE MD

Abstract

ABSTRACT: During a 36-month period, the serial chest x-ray films of 26 patients with the adult respiratory distress syndrome (ARDS) were evaluated for the patterns of onset, course, and followup appearance when possible. An exudative phase appearance can be recognized, which can clear. The exudative phase appearances are (1) a bilateral, homogenous, white-out alveolar appearance; (2) an asymmetric consolidative appearance; and (3) a central perihilar (“bat-wing”) consolidative appearance. This progresses to a proliferative phase manifested on chest x-ray film as an interstitial appearance that must not be confused with fibrosis, as the chest x-ray film may return to normal.

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References