Hepatopulmonary syndrome x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Soroush Seifirad, M.D.[2]
Overview
An x-ray may be helpful in the diagnosis of hepatopulmonary syndrome. Although, chest x-ray studies are frequently nonspecific and subtle. Findings on an x-ray suggestive of hepatopulmonary syndrome include mild interstitial pattern in the bilateral, lower lung fields due to the pulmonary vascular dilatation that might be misinterpreted as interstitial lung disease. We should keep in mind that chest x-ray is often unremarkable in patients with hepatopulmonary syndrome, and hence a normal radiograph does not rule out hepatopulmonary syndrome.
X Ray
An x-ray may be helpful in the diagnosis of hepatopulmonary syndrome. Although, chest x-ray studies are frequently nonspecific and subtle. Findings on an x-ray suggestive of hepatopulmonary syndrome include:
- Mild interstitial pattern in the bilateral, lower lung fields due to the pulmonary vascular dilatation that might be misinterpreted as interstitial lung disease.
- We should keep in mind that chest x-ray is often unremarkable in patients with hepatopulmonary syndrome, and hence a a normal radiograph does not rule out hepatopulmonary syndrome.[1]
References
- ↑ Rodríguez-Roisin R, Krowka MJ (2008) Hepatopulmonary syndrome--a liver-induced lung vascular disorder. N Engl J Med 358 (22):2378-87. DOI:10.1056/NEJMra0707185 PMID: 18509123
- ↑ Fallon MB, Abrams GA (2000) Pulmonary dysfunction in chronic liver disease. Hepatology 32 (4 Pt 1):859-65. DOI:10.1053/jhep.2000.7519 PMID: 11003635
- ↑ Krowka MJ, Mandell MS, Ramsay MA, Kawut SM, Fallon MB, Manzarbeitia C et al. (2004) Hepatopulmonary syndrome and portopulmonary hypertension: a report of the multicenter liver transplant database. Liver Transpl 10 (2):174-82. DOI:10.1002/lt.20016 PMID: 14762853
- ↑ Kennedy TC, Knudson RJ (1977) Exercise-aggravated hypoxemia and orthodeoxia in cirrhosis. Chest 72 (3):305-9. DOI:10.1378/chest.72.3.305 PMID: 891282
- ↑ Krowka MJ, Fallon MB, Kawut SM, Fuhrmann V, Heimbach JK, Ramsay MA et al. (2016) International Liver Transplant Society Practice Guidelines: Diagnosis and Management of Hepatopulmonary Syndrome and Portopulmonary Hypertension. Transplantation 100 (7):1440-52. DOI:10.1097/TP.0000000000001229 PMID: 27326810