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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Hepatopulmonary syndrome x ray

Introduction

Overview

Overview

An x-ray may be helpful in the diagnosis of hepatopulmonary syndrome. Although, chest x-ray studies are frequently nonspecific and subtle. Findings on an x-ray suggestive of hepatopulmonary syndrome include mild interstitial pattern in the bilateral, lower lung fields due to the pulmonary vascular dilatation that might be misinterpreted as interstitial lung disease. We should keep in mind that chest x-ray is often unremarkable in patients with hepatopulmonary syndrome, and hence a normal radiograph does not rule out hepatopulmonary syndrome.

X Ray

X Ray

An x-ray may be helpful in the diagnosis of hepatopulmonary syndrome. Although, chest x-ray studies are frequently nonspecific and subtle. Findings on an x-ray suggestive of hepatopulmonary syndrome include:

  • Mild interstitial pattern in the bilateral, lower lung fields due to the pulmonary vascular dilatation that might be misinterpreted as interstitial lung disease.
  • We should keep in mind that chest x-ray is often unremarkable in patients with hepatopulmonary syndrome, and hence a a normal radiograph does not rule out hepatopulmonary syndrome.[1]

[2] [3]

[4] [5]

References

References

  1. ↑ Rodríguez-Roisin R, Krowka MJ (2008) Hepatopulmonary syndrome–a liver-induced lung vascular disorder. N Engl J Med 358 (22):2378-87. DOI:10.1056/NEJMra0707185 PMID: 18509123
  2. ↑ Fallon MB, Abrams GA (2000) Pulmonary dysfunction in chronic liver disease. Hepatology 32 (4 Pt 1):859-65. DOI:10.1053/jhep.2000.7519 PMID: 11003635
  3. ↑ Krowka MJ, Mandell MS, Ramsay MA, Kawut SM, Fallon MB, Manzarbeitia C et al. (2004) Hepatopulmonary syndrome and portopulmonary hypertension: a report of the multicenter liver transplant database. Liver Transpl 10 (2):174-82. DOI:10.1002/lt.20016 PMID: 14762853
  4. ↑ Kennedy TC, Knudson RJ (1977) Exercise-aggravated hypoxemia and orthodeoxia in cirrhosis. Chest 72 (3):305-9. DOI:10.1378/chest.72.3.305 PMID: 891282
  5. ↑ Krowka MJ, Fallon MB, Kawut SM, Fuhrmann V, Heimbach JK, Ramsay MA et al. (2016) International Liver Transplant Society Practice Guidelines: Diagnosis and Management of Hepatopulmonary Syndrome and Portopulmonary Hypertension. Transplantation 100 (7):1440-52. DOI:10.1097/TP.0000000000001229 PMID: 27326810

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Soroush Seifirad, M.D.[2]