Congestive heart failure can cause two types of pulmonary edema seen on chest x-rays: pulmonary interstitial edema and pulmonary alveolar edema. Pulmonary interstitial edema appears as thickening of interlobular septa, Kerley B lines, peribronchial cuffing, thickening of fissures, and subpleural fluid. Pulmonary alveolar edema creates a fluffy, bat-wing pattern in the lungs. Left atrial pressure correlates with the severity and type of pulmonary edema seen on chest x-rays.