Kerley Line A B C

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A chest radiograph showed an enlarged cardiac silhouette, a dilated azygos vein, and

peribronchial cuffing, in addition to Kerley's A, B, and C lines. Kerley's A lines (arrows) are linear
opacities extending from the periphery to the hila; they are caused by distention of anastomotic
channels between peripheral and central lymphatics. Kerley's B lines (white arrowheads) are short
horizontal lines situated perpendicularly to the pleural surface at the lung base; they represent
edema of the interlobular septa. Kerley's C lines (black arrowheads) are reticular opacities at the
lung base, representing Kerley's B lines en face. These radiologic signs and physical findings
suggest cardiogenic pulmonary edema. The patient's condition improved on treatment with
diuretics and vasodilators.

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