Clinical Presentation
A 30-year-old man with progressive shortness of breath after a herion binge.
Imaging Findings
(A, B) Computed tomography of the chest demonstrates bilateral parenchymal opacities with air-space consolidation in the basilar and dependent aspects of the lungs (arrows). Small pleural effusions are also appreciated bilaterally.
Differential Diagnosis
• Heroin-induced pulmonary edema: Bilateral parenchymal opacities in a patient with a history of heroin overdose are a common presentation of heroin-induced pulmonary edema.
• Pneumonia:
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