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
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
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This is a posteroanterior radiograph revealing enlarged pulmonary arteries in a patient with Atrial septal defect.
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Chest x-ray for a patient with advanced Histiocytosis X associated with severe pulmonary hypertension
