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Pulmonary edema facts. 1  Pulmonary edema is typically caused by filling of alveoli in the lungs by fluid leaking out of the blood. 2  Pulmonary edema may be caused by a number of cardiac or non-cardiac conditions.  Breathing difficulty is the main manifestation of pulmonary edema.
Pleural effusion. In some cases, pleurisy causes a build-up of excess fluid around the lungs called pleural effusion. Pleural effusion can result in shortness of breath that gets progressively worse. This is more likely in cases of pleurisy caused by pulmonary embolism or a bacterial infection.