In the case of pulmonary congestion, the patient’s lungs may be seen to have shadows and enlargement in the hilum on x-ray imaging, and the lung texture is significantly thickened, with the lung apex and base clearly visible. In addition, the doctor can hear alveolar sounds in the lungs during the auscultation examination of the patient with pulmonary congestion, and drum sounds on percussion. In addition, pulmonary congestion can manifest as active and passive congestion, with strong heart sounds and pulses in active congestion and weak heart sounds and pulses in passive congestion. Patients with pulmonary congestion usually have a constant cough with sputum and dyspnea with heart disease symptoms.