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 at the time of diagnosis. However, there is no correlation between the degree of severity of PH and the findings on chest X-rays. Chest X-ray allows exclusion of left heart disease and lung disease that can lead to group 2 and group 3 PH, respectively. Findings of PH on chest X-ray include pulmonary artery dilatation and right sided enlargement of the heart.
Chest X Ray
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
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This is a posteroanterior radiograph revealing enlarged pulmonary arteries in a patient with Atrial septal defect.
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