Hepatopulmonary syndrome CT scan: Difference between revisions
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==Overview== | ==Overview== | ||
Chest CT scan and particularly [[High Resolution CT|high resolution ct scan (HRCT)]] may be helpful in the diagnosis of hepatopulmonary syndrome. Although | Chest CT scan and particularly [[High Resolution CT|high resolution ct scan (HRCT)]] may be helpful in the diagnosis of hepatopulmonary syndrome. Although [[Computed tomography|CT Scan]] studies are frequently nonspecific and subtle. Findings on [[Computed tomography|CT scan]] suggestive of hepatopulmonary syndrome include characteristic findings of intrapulmonary vascular dilatation, increased [[pulmonary artery]] to [[bronchus]] ratios, dilated peripheral [[Pulmonary circulation|pulmonary vessel]]<nowiki/>s and barely direct arterio-venous communications. Nevertheless, we should keep in mind that [[Computed tomography|Ct scan]] is often unremarkable in patients with hepatopulmonary syndrome, and hence a normal [[Radiography|radiograph]] (either [[Chest X-ray|chest x-ray (CXR)]] or [[Computed tomography|CT S]]<nowiki/>can) does not rule out hepatopulmonary syndrome. | ||
==CT scan== | ==CT scan== | ||
[[CT scan|Chest CT scan]] and particularly [[High Resolution CT|high resolution ct scan (HRCT]]) may be helpful in the diagnosis of hepatopulmonary syndrome. Although, CT Scan studies are frequently nonspecific and subtle. Findings on CT scan suggestive | [[CT scan|Chest CT scan]] and particularly [[High Resolution CT| high resolution ct scan (HRCT]]) may be helpful in the diagnosis of hepatopulmonary syndrome. Although, CT Scan studies are frequently nonspecific and subtle.<ref name="pmid27384058">Chen YA, Prabhudesai V, Castel H, Gupta S (2016) [https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&retmode=ref&cmd=prlinks&id=27384058 CT Scan Does Not Differentiate Patients with Hepatopulmonary Syndrome from Other Patients with Liver Disease.] ''PLoS One'' 11 (7):e0158637. [http://dx.doi.org/10.1371/journal.pone.0158637 DOI:10.1371/journal.pone.0158637] PMID: [https://pubmed.gov/27384058 27384058]</ref> Findings on CT scan suggestive of hepatopulmonary syndrome include: | ||
*Dilated peripheral pulmonary vessels | *Dilated peripheral pulmonary vessels | ||
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*Direct arterio-venous communications may be less commonly seen. | *Direct arterio-venous communications may be less commonly seen. | ||
*'''We should keep in mind that [[Computed tomography|Ct scan]] is often unremarkable in patients with hepatopulmonary syndrome, and hence | *'''We should keep in mind that [[Computed tomography|Ct scan]] is often unremarkable in patients with hepatopulmonary syndrome, and hence a normal [[Radiography|radiograph]] (either [[Chest X-ray|CXR]] or [[Computed tomography|CT Scan]]) does not rule out hepatopulmonary syndrome.''' | ||
==References== | ==References== | ||
Revision as of 14:34, 5 September 2019
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Hepatopulmonary syndrome Microchapters |
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Differentiating Hepatopulmonary syndrome from other Diseases |
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Diagnosis |
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Case Studies |
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Hepatopulmonary syndrome CT scan On the Web |
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American Roentgen Ray Society Images of Hepatopulmonary syndrome CT scan |
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Risk calculators and risk factors for Hepatopulmonary syndrome CT scan |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Soroush Seifirad, M.D.[2]
Overview
Chest CT scan and particularly high resolution ct scan (HRCT) may be helpful in the diagnosis of hepatopulmonary syndrome. Although CT Scan studies are frequently nonspecific and subtle. Findings on CT scan suggestive of hepatopulmonary syndrome include characteristic findings of intrapulmonary vascular dilatation, increased pulmonary artery to bronchus ratios, dilated peripheral pulmonary vessels and barely direct arterio-venous communications. Nevertheless, we should keep in mind that Ct scan is often unremarkable in patients with hepatopulmonary syndrome, and hence a normal radiograph (either chest x-ray (CXR) or CT Scan) does not rule out hepatopulmonary syndrome.
CT scan
Chest CT scan and particularly high resolution ct scan (HRCT) may be helpful in the diagnosis of hepatopulmonary syndrome. Although, CT Scan studies are frequently nonspecific and subtle.[1] Findings on CT scan suggestive of hepatopulmonary syndrome include:
- Dilated peripheral pulmonary vessels
- Increased pulmonary artery to bronchus ratios
- Characteristic findings of intrapulmonary vascular dilatations
- Direct arterio-venous communications may be less commonly seen.
- We should keep in mind that Ct scan is often unremarkable in patients with hepatopulmonary syndrome, and hence a normal radiograph (either CXR or CT Scan) does not rule out hepatopulmonary syndrome.
References
- ↑ Chen YA, Prabhudesai V, Castel H, Gupta S (2016) CT Scan Does Not Differentiate Patients with Hepatopulmonary Syndrome from Other Patients with Liver Disease. PLoS One 11 (7):e0158637. DOI:10.1371/journal.pone.0158637 PMID: 27384058