Pulmonary hypertension chest x ray
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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 is abnormal in the majority of patients with pulmonary hypertension (PH);[1] however, there is no correlation between the severity of PH and the findings on chest X-ray. Findings of PH on chest X-ray include pulmonary artery dilatation and right sided enlargement of the heart. Chest X-ray allows exclusion of left heart disease and lung disease that can lead to group 2 and group 3 PH, respectively.
Chest X Ray
Findings of PH on chest X-ray include:
- Hilar pulmonary arterial dilation
- Loss of peripheral blood vessel markings
- Enlarged right atrium and right ventricle in advanced diseases
Shown below are chest X-ray images of patients with PH.
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This is a posteroanterior radiograph revealing enlarged pulmonary arteries in a patient with atrial septal defect.
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References
- ↑ Rich S, Dantzker DR, Ayres SM, Bergofsky EH, Brundage BH, Detre KM; et al. (1987). "Primary pulmonary hypertension. A national prospective study". Ann Intern Med. 107 (2): 216–23. PMID 3605900.