Pulmonary hypertension chest x ray: Difference between revisions
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{{Pulmonary hypertension}} | {{Pulmonary hypertension}} | ||
{{CMG}}, Richard Channick, M.D.; '''Assistant Editor(s)-in-Chief:''' [[User:Ralph Matar|Ralph Matar]]. | {{CMG}}, Richard Channick, M.D.; '''Assistant Editor(s)-in-Chief:''' [[User:Ralph Matar|Ralph Matar]]. | ||
==Overview== | |||
==Chest x-ray in a patient with pulmonary hypertension | ==Chest X-ray== | ||
===Chest x-ray in a patient with pulmonary hypertension=== | |||
*Chest x-ray is abnormal in 90% of patients with pulmonary hypertension at the time of diagnosis. However, no correlation have been found between the degree of severity of pulmonary hypertension and the findings on chest x-rays. | *Chest x-ray is abnormal in 90% of patients with pulmonary hypertension at the time of diagnosis. However, no correlation have been found between the degree of severity of pulmonary hypertension and the findings on chest x-rays. | ||
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*It allows exclusion of moderate to severe lung diseases and pulmonary venous hypertension due to left heart disease. | *It allows exclusion of moderate to severe lung diseases and pulmonary venous hypertension due to left heart disease. | ||
==Findings on Chest x-ray | ===Findings on Chest x-ray=== | ||
# Hilar pulmonary arterial dilation. | # Hilar pulmonary arterial dilation. | ||
# Loss of peripheral blood vessel markings. | # Loss of peripheral blood vessel markings. | ||
# Enlarged right atrium and right ventricle in advanced diseases. | # Enlarged right atrium and right ventricle in advanced diseases. | ||
==Typical chest x-rays | ===Typical chest x-rays=== | ||
This is a posteroanterior radiograph revealing enlarged pulmonary arteries in a patient with Atrial septal defect. | This is a posteroanterior radiograph revealing enlarged pulmonary arteries in a patient with Atrial septal defect. | ||
[[Image:336139-361242-1175.jpg|200px]] | |||
[[Image:Pulmon4.gif| | [[Image:Pulmon4.gif|200px]] | ||
==Chest x-ray for a patient with advanced Histiocytosis X associated with severe pulmonary hypertension<ref>Severe Pulmonary Hypertension in Histiocytosis X,Am. J. Respir. Crit. Care Med., Volume 161, Number 1, January 2000, 216-223</ref> | ===Chest x-ray for a patient with advanced Histiocytosis X associated with severe pulmonary hypertension<ref>Severe Pulmonary Hypertension in Histiocytosis X,Am. J. Respir. Crit. Care Med., Volume 161, Number 1, January 2000, 216-223</ref>=== | ||
[[Image:CXR for a patient with advanced Histiocytosis X associated with severe pulmonary hypertension.jpeg| | [[Image:CXR for a patient with advanced Histiocytosis X associated with severe pulmonary hypertension.jpeg|200px]] | ||
==References== | ==References== | ||
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{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Revision as of 18:36, 27 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Richard Channick, M.D.; Assistant Editor(s)-in-Chief: Ralph Matar.
Overview
Chest X-ray
Chest x-ray in a patient with pulmonary hypertension
- Chest x-ray is abnormal in 90% of patients with pulmonary hypertension at the time of diagnosis. However, no correlation have been found between the degree of severity of pulmonary hypertension and the findings on chest x-rays.
- It allows exclusion of moderate to severe lung diseases and pulmonary venous hypertension due to left heart disease.
Findings on Chest x-ray
- Hilar pulmonary arterial dilation.
- Loss of peripheral blood vessel markings.
- Enlarged right atrium and right ventricle in advanced diseases.
Typical chest x-rays
This is a posteroanterior radiograph revealing enlarged pulmonary arteries in a patient with Atrial septal defect.
Chest x-ray for a patient with advanced Histiocytosis X associated with severe pulmonary hypertension[1]
References
- ↑ Severe Pulmonary Hypertension in Histiocytosis X,Am. J. Respir. Crit. Care Med., Volume 161, Number 1, January 2000, 216-223