I have recently had some thoughts on IPE due to experiences recovering from surgery.
If you do some research on the general term pulmonary edema, you will find that there are several kinds, and they do not involve immersion in water. I was warned edema in general and pulmonary edema in particular were potential issues during my recovery, and a chest x-ray early on showed a problem. Consequently, I have some experience with it. For me, it comes in various degrees of severity. It can go from not noticeable to very noticeable in a day--or even during a day. By "very noticeable," I mean that when it is bad, I start huffing and puffing with minor exercise. I have trouble catching my breath. Early on, coughing fits were a problem as my lungs tried to expel the fluids in there. As I recover, this happens more and more rarely, and I hope to be completely free of this problem before too long.
Because of the warnings I received and my experience, I know the symptoms, and I know what to expect when I recognize them. In contrast, I would imagine that people who have begun one of the forms of pulmonary edema that have other causes would not be so alert to symptoms, and they would not realize they are having a minor case that day. Maybe they're a little more out of breath than normal and don't know why.
I wonder if people who suffered from IPE were not already having symptoms of pulmonary edema before they got into the water and didn't know it. Rather than triggering an episode, the circumstances of the dive may have exacerbated a problem the diver was already having.