Kerley B Lines: Causes & Reasons

Possible Causes for Kerley B Lines

The early signs of pulmonary edema (interstitial edema) are the septal lines (Kerley B lines), which are horizontal lines seen laterally in the lower zones. [emedicine.com]

On a CXR, cardiogenic pulmonary edema can show; cephalization of the pulmonary vessels, Kerley B lines or septal lines, peribronchial cuffing, "bat wing" pattern, patchy shadowing [med-ed.virginia.edu]

Diffuse Pulmonary Lymphangiomatosis

B lines, blunting costophrenic angles (mimic CHF) Sclerotic bone lesions CT/HRCT Ground glass opacites and centrilobular nodules Smooth septal thickening Diffuse pleural [chestx-ray.com]

His chest radiograph at presentation showed mediastinal widening, bilateral pleural effusions, and Kerley B lines. [ijri.org]

Clin Radiol. 2002; 57:8–17. 4.14 Septal (Kerley B) lines Pulmonary lobules are the smallest lung units bounded by interlobular septa. [clinicalgate.com]

Congestive Heart Failure

Black arrowheads in following image are kerley b lines, white arrows are septal lines. [saem.org]

[…] inhalation, causing rales on exam abdominal exam ascites hepatojugular reflex Imaging Chest radiograph findings pulmonary vascular congestion pleural effusion cardiomegaly Kerley-B [medbullets.com]

Kerley B lines. Apart from pulmonary congestion, CXR findings are only predictive of heart failure where there are co-existing typical signs and symptoms. Urinalysis. [patient.info]

Mitral Valve Stenosis

Horizontal lines in the lower posterior lung fields (Kerley B lines) indicate interstitial edema associated with high LA pressure. [merckmanuals.com]

Mitral Papillary Muscle Rupture

Patients with acute mitral regurgitation are also likely to show x-ray signs of acute pulmonary edema with kerley-B lines, and peri-hilar infiltrates (the so-called "bat wing [clinicalpainadvisor.com]

Mitral Valve Disease

Investigations CXR: may show left atrial enlargement and interstitial oedema (Kerley A and B lines) if severe. Mitral valve calcification may be seen. [patient.info]

Cardiomegaly on Chest X-ray

B Lines or septal lines. [dailyrounds.org]

Interstitial oedema - septal lines (Kerley B lines) Septal lines (also known as Kerley B lines) are caused by thickening of the interlobular septa which separate the secondary [radiologymasterclass.co.uk]

Imaging: Stage II CHF XRay findings - Interstitial phase Kerley B Lines ( Interstitial Infiltrate s) Short (1-2 cm) peripheral, lower lobe white lines, perpendicular and adjacent [fpnotebook.com]

Chronic Pulmonary Edema

When fluid leaks into the peripheral interlobular septa it is seen as Kerley B or septal lines. [radiologyassistant.nl]

B lines) 나비모양 침윤(Classic butterfly infiltrate) 폐포침윤(Frank alveolar infiltrates) 비대칭적일 수 있어 폐렴으로 오인이 가능하다. [clinicclinic2.cafe24.com]

A and Kerley B lines, have also been described as occurring with increasing frequency in the presence of emphysema. 5 This is attributed to impairment of lymphatic flow in [appliedradiology.com]

Chronic Right-Sided Congestive Heart Failure

When fluid leaks into the peripheral interlobular septa it is seen as Kerley B or septal lines. [radiologyassistant.nl]

B lines : visible horizontal interlobular septa caused by pulmonary edema Basilar edema Bilateral pleural effusions Sputum analysis : heart failure cells ( hemosiderin -containing [amboss.com]

Idiopathic Acute Eosinophilic Pneumonia

The chest x-ray initially may show only subtle reticular or ground-glass opacities, often with Kerley B lines. [merckmanuals.com]

Imaging : (1) 最開始時，only subtle reticular / GGO + Kerley B lines => 疾病進展，bilateral diffuse mixed GGO (也可能會進展成consolidation, 隨機分佈，但疾病惡化後會沿著bronchovascular bundles走) + reticular [lonepair000.pixnet.net]

Right Atrial Hypertrophy

B lineカーリーB線 Killip's classificationキリップ分類 Kussmaul's signクスマル徴候 l late potential遅延電位 lateral wall infarct側壁［心筋］梗塞 lead誘導、電極 leaflet弁尖 left anterior descending coronary artery [tokyo-med.ac.jp]

Septal lines (Kerley B lines) Hover on/off image to show/hide findings Tap on/off image to show/hide findings Click image to align with top of page Septal lines (Kerley B [radiologymasterclass.co.uk]

Hemangiomatosis

(a) Radiograph collimated to the right lower lobe demonstrates numerous Kerley B lines (arrow). [pubs.rsna.org]

There were no Kerley-B lines or pleural effusion. The ECG showed right axis deviation and right ventricular hypertrophy with ST–T changes ( Figure 2 ). [circ.ahajournals.org]

(b) Radiograph collimated to the left lower lobe helps confirm the presence of Kerley B lines (arrowheads). Figure 1b. PVOD in a 20-year-old man. [pubs.rsna.org]

Carcinomatosis

B lines Thickening of the fissures Pleural effusions, especially laminar effusion The findings may be unilateral, which should alert you to the possibility of lymphangitic [learningradiology.com]

Lymphangitis carcinomatosa may show the presence of Kerley B lines on chest X-ray. [en.wikipedia.org]

When abnormal, the most common finding is a reticulonodular pattern, with thickening of the interlobular septa which may resemble Kerley B lines. [radiopaedia.org]

Pulmonary Lymphangitic Carcinomatosis

When abnormal, the most common finding is a reticulonodular pattern, with thickening of the interlobular septa which may resemble septal (Kerley B) lines. [radiopaedia.org]

Kerley A &B lines typically represent interstitial lymphangitic edema. [ncbi.nlm.nih.gov]

Kaposi Sarcoma of the Lung

Kerley B lines and pleural effusions also are common findings. [ajronline.org]

B lines, pleural collections, and hilar or mediastinal adenopathies [ 5 ] (Figure 1 ). [ncbi.nlm.nih.gov]

Peripheral linear opacities (Kerley B lines) also have been reported [ 31 ]. [ajronline.org]

Congenital Mitral Stenosis

Horizontal lines in the lower posterior lung fields (Kerley B lines) indicate interstitial edema associated with high LA pressure. [merckmanuals.com]

B lines (indicating fluid collection in the interlobular septa) 21. [slideshare.net]

There is fluid within the right horizontal fissure and mutiple bilateral septal lines (Kerley B) representing lymphatic engorgement in the costophrenic angles. B. [bcm.edu]

Cardiogenic Pulmonary Edema

Chest X-ray will show fluid in the alveolar walls, Kerley B lines, increased vascular shadowing in a classical batwing peri- hilum pattern, upper lobe diversion (increased [en.wikipedia.org]

Cor Triatriatum

Note also the faint Kerley B lines at the costophrenic angle. B. Angiocardiogram demonstrates the cor triatriatum septum within the left atrium. [bcm.edu]

The findings include: Pulmonary congestion with haziness (Kerley B-lines) Ground glass appearance of acute pulmonary edema Prominent pulmonary vessels Pleural effusion Left [statpearls.com]

Löffler Syndrome

The chest x-ray initially may show only subtle reticular or ground-glass opacities, often with Kerley B lines. [msdmanuals.com]

Systolic Heart Failure

= Kerley B lines ( interstitial edema ), C = C ardiomegaly, D = D ilated prominent pulmonary vessels, and E= E ffusions! [amboss.com]

[…] lower posterior lung fields (Kerley B lines). [msdmanuals.com]

Ultrasound of the lung may also be able to detect Kerley lines. [37] Congestive heart failure with small bilateral effusions. Kerley b lines. [en.wikipedia.org]

High-Output Heart Failure

= Kerley B lines (interstitial edema), C = Cardiomegaly, D = Dilated prominent pulmonary vessels, and E= Effusions! [amboss.com]

Kerley B lines. Apart from pulmonary congestion, CXR findings are only predictive of heart failure where there are co-existing typical signs and symptoms. Urinalysis. [patient.info]

Traumatic Rupture of Pulmonary Vessels

When fluid leaks into the peripheral interlobular septa it is seen as Kerley B or septal lines. [radiologyassistant.nl]

Kerley-B lines are seen as peripheral short 1-2 cm horizontal lines near the costophrenic angles. These lines run perpendicular to the pleura. [radiologyassistant.nl]

RIGHT: CHF stage II with Kerley B-lines due to interstitial edema Stage II - Interstitial edema Stage II of CHF is characterized by fluid leakage into the interlobular and [radiologyassistant.nl]

Sarcoid Myocarditis

Sometimes ST segment elevation can mimic ECG changes of a myocardial infarction. [2] Chest X-ray [2] Features of heart failure (pulmonary edema, Kerley B lines, upper lobe [explainmedicine.com]

Hydropericardium

CXR Shows LA and RV enlargement and Kerley B lines. [curiozitatimedicale.blogspot.com]

Pulmonary Consolidation

Kerley B lines are common in CHF but not in ARDS, while air bronchograms can be found in both. [aic.cuhk.edu.hk]

The classic Kerley lines are made by the thickening of the interlobular septa that carry the lymphatics (Kerley B lines are short thin lines, 1.5 to 2cm in length, seen in [aic.cuhk.edu.hk]

Toxic Myocarditis

Sometimes ST segment elevation can mimic ECG changes of a myocardial infarction. [2] Chest X-ray [2] Features of heart failure (pulmonary edema, Kerley B lines, upper lobe [explainmedicine.com]

Drug or Radiation Exposure-Related Interstitial Lung Disease

Lymphangitic Carcinomatosis Progressive dyspnea; CXR showing Kerley B lines, restrictive defect on PFTs; biopsy showing malignant cells. [lumen.luc.edu]

B line prominence Lymphangitic carcinomatosis, CHF HRCT Nodules Sarcoidosis HP, CBD, pneumoconiosis, RA, malignancy Septal thickening Edema, malignancy, infection, drug toxicity [transrespmed.springeropen.com]

Chest radiograph reveals a bilateral interstitial pattern with B Kerley lines. [archbronconeumol.org]

Rhabdomyoma of the Myocardium

Here seen with left atrial enlargement, pulmonary vascular redistribution, and pulmonary interstitial edema with Kerley B lines. Left atrium. Variable population. [radcharts.org]

Radiation Exposure-Related Interstitial Lung Disease

Lymphangitic Carcinomatosis Progressive dyspnea; CXR showing Kerley B lines, restrictive defect on PFTs; biopsy showing malignant cells. [lumen.luc.edu]

Chest radiograph reveals a bilateral interstitial pattern with B Kerley lines. [archbronconeumol.org]

Kerley lines. [archbronconeumol.org]

Respiratory Bronchiolitis Interstitial Lung Disease

Kerley B lines Kerley A lines 51. [slideshare.net]

Lymphangitic Carcinomatosis Progressive dyspnea; CXR showing Kerley B lines, restrictive defect on PFTs; biopsy showing malignant cells. [lumen.luc.edu]

B Lines Lung Metastases-Lymphangitic Carcinomatosis Lymphangioleiomyomatosis Pulmonary Venous Hypertension Mitral Stenosis Pulmonary Veno-Occlusive Disease Lymphoma Amyloidosis [mdnxs.com]