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Chest radiograph from a subject with high-altitude pulmonary oedema investigated a few hours after ascending to the Capanna Regina Margherita hut at 4559 m in the Italian Alps. Chest radiograph from a subject with high-altitude pulmonary oedema investigated a few hours after ascending to the Capanna Regina Margherita hut at 4559 m in the Italian Alps. The chest radiograph shows an enlarged heart with “butterfly shape” opacities in both lung fields. Image courtesy of R. Naeije, Dept of Cardiology, Erasme University Hospital, Brussels, Belgium. Yochai Adir, and Alfred A. Bove Eur Respir Rev 2014;23: ©2014 by European Respiratory Society
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