Acute respiratory distress syndrome chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Brian Shaller, M.D. [2]

Overview

By definition, patients with ARDS have bilateral airspace opacities on chest X-ray.

Chest X-Ray

Chest X-ray is the preferred imaging modality in the assessment of ARDS. Classic findings of ARDS on chest X-ray include:

• Diffuse, hazy airspace opacities that are bilateral but often asymmetric
• Obscuration of the pulmonary vessels

ARDS on chest X-ray of a 65-year-old man who was admitted to the ICU with necrotizing fasciitis, sepsis, acute renal failure, and progressive respiratory failure requiring mechanical ventilation