285Lu Severe Congestive Heart Failure CHF 50 year-old male presents with severe dyspnea and orthopnea CXR Frontal Batwing Pattern CXR Frontal Batwing Pattern50 year-old male presents with severe dyspnea and orthopnea. CXR in the frontal projection shows perihilar congestion with batwing distribution, left atrial enlargement and left ventricular configuration of the heart. These findings are consistent with severe heart failure with a projected LVEDP of greater than 30mmHgAshley Davidoff MD TheCommonVein.net 285Lu 135759 CT Batwing Pattern Severe CHF CT Batwing Pattern Severe CHF50 year-old male presents with severe dyspnea and orthopnea. CT in the coronal plane shows early severe CHF, with perihilar ground glass changes (magnified in c) and Kerley B lines (b, black arrowheads) These findings are consistent with early severe heart failure with a projected LVEDP of greater than 30mmHgAshley Davidoff MD TheCommonVein.net 285Lu 135761cL CT Perihilar Edema Bilateral Effusions Early Severe CHF CT Perihilar Edema Bilateral Effusions Early Severe CHF50 year-old male presents with severe dyspnea and orthopnea. CT in the axial plane shows early severe CHF, with perihilar ground glass changes and small bilateral pleural effusions – right greater than left. These findings are consistent with early severe heart failure with a projected LVEDP of greater than 30mmHgAshley Davidoff MD TheCommonVein.net 285Lu 135760