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); 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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