chest

ARDS on chest x-ray: phases

ACUTE EXUDATIVE PHASE

  • First week
  • First findings > 12 hours after insult
  • Patchy alveolar infiltrates
    • bilateral
    • gravity dependent, both central and peripheral
    • costophrenic angles are spared
    • air-bronchograms
    • Kerley lines are uncommon
  • Infiltrates coalesce to large dense air-space bilateral shadows

 

FIBROTIC PHASE

  • Begins as early as in the second week
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