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Radiographic Manifestations of Diffuse Pulmonary Alveolar Derecruitment

Raja, Junaid MD, MSPH, MS*; Menn, Kirsten MD; Jindal, Gaurav MD; Bokhari, Syed A. Jamal MD*

doi: 10.1097/RTI.0000000000000414
Original Articles

Pulmonary alveolar derecruitment is a process of alveolar collapse that occurs in critically ill patients. While the entity and its physiological manifestations are described in the anesthesiology and critical care literature, the radiographic manifestations of alveolar derecruitment have not yet been thoroughly described. This phenomenon can have a similar appearance to pulmonary edema; however, patients often have severe intravascular volume depletion. As the treatment for these 2 entities is essentially contradictory, it is important to be familiar with alveolar derecruitment and consider it as a differential diagnosis when clinically appropriate.

*Department of Radiology and Biomedical Imaging, Yale School of Medicine, New Haven

Midstate Radiology Associates, Wallingford, CT

Department of Diagnostic Imaging, Warren Alpert Medical School of Brown University, Providence, RI

The authors declare no conflicts of interest.

Correspondence to: Junaid Raja, MD, MSPH, MS, Department of Radiology and Biomedical Imaging, Yale School of Medicine, 330 Cedar Street, New Haven, CT 06510 (e-mail:

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