Dobutamine and furosemide drips were added. However, her hypoxemia and hypotension persisted, and her urine output decreased to near zero. At this point, she was given 40 mg of furosemide as a nebulized inhalation. Within the next 30 min, the amount of airway secretion began to fall. Another 40 mg furosemide inhalation was given. Her arterial oxygenation began to improve within hours, followed by improvement in her hemodynamic parameters and urine output. In the next 12 h, her hemodynamics improved to a cardiac output. 3.76 L/min; cardiac index, 2.54 L/min/m2; pulmonary arterial pressure, 27/17 mm Hg; and pulmonary capillary wedge pressure, 14 mm Hg. Her arterial blood gas improved to pH 7.53, Pco2 34 mm Hg, and Po2 90 mm Hg on Fio2 55% and PEEP 10 cm H2O. The following morning, her pressors were tapered off, and the requirement for ventilator support decreased further. Two days later, she was extubated. A chest radiograph confirmed the resolution of the pulmonary edema (Fig 2B). A repeated echocardiogram showed normal right ventricle contractility and mild left ventricle hypokinesis with a left ventricular ejection fraction of 45%. She was discharged 10 days later. One year later, she had another large intracerebral hemorrhage at the same brain area, and a cavernous angioma was identified. She underwent craniotomy for hematoma evacuation and angioma resection. She was premedicated with β-blockers, and her second surgery was uneventful.