This is an AP chest x-ray in a patient in the McCune, which is our medical intensive care unit with severe shortness of breath and hypotension. And you can see this is an example of severe pulmonary edema. You have alveolar infiltrates bilaterally. You can see that the patient is supine. You can see that there's not well inflated lungs. So they're hypo inflated. And there is alveolar infiltrate. And this setting is most likely pulmonary edema, severe bilateral alveolar pneumonia or alveolar hemorrhage could have a similar appearance. But in this case they knew that it was pulmonary edema in a patient with heart failure.

這是一名內(nèi)科重癥監(jiān)護(hù)病房病人的胸部正位片。患者嚴(yán)重氣促伴高血壓。平片顯示為典型的嚴(yán)重肺水腫，表現(xiàn)為雙側(cè)肺泡浸潤?；颊哐雠P位，肺部充氣不足呈低充氣。肺泡浸潤表明肺水腫可能性大。嚴(yán)重雙側(cè)肺泡炎或肺泡出血表現(xiàn)相仿。然而該病人為心衰引起的肺水腫。

Notes:

1. hypotension [?ha?p?'ten??n] n. 血壓過低

  Hypotension is the medical term for low blood pressure.

2. edema [?'di:m?] n. <美>水腫，浮腫，瘤腺體

  Edema is a condition of abnormally large fluid volume in the circulatory system or in tissues between the body's cells (interstitial spaces).

3. supine [sju?pa?n, ?sju?pa?n] adj. 仰臥的 (prone 俯臥的)

  Denoting the body when lying face upward; opposite of prone.

4. pneumonia [nu:?mo?ni?] n. [醫(yī)] 肺炎; 急性肺炎

  An acute or chronic disease marked by inflammation of the lungs, usually caused by a bacterium, virus, or other infectious agent.

5. hemorrhage [?h?m?r?d?] n. （尤指大量的） 出血，失血; vi. 大出血

  Bleeding, especially in excessive amounts.