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

  1. Hilar pulmonary arterial dilation.
  2. Loss of peripheral blood vessel markings.
  3. Enlarged right atrium and right ventricle in advanced diseases.

Typical chest x-rays

References

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