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.
Pulmonary hypertension chest x ray
Introduction
Overview
Overview
A 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 a chest X-ray. Findings of PH on a chest X-ray include pulmonary artery dilatation and right-sided enlargement of the heart. A chest X-ray may suggest that there is no compromise of the left heart if normal and allows for initial assessment of lung disease that can lead to group 2 and group 3 PH, respectively.
Chest X Ray
Chest X Ray
Findings of PH on a chest X-ray include:[1][2][3]
- Hilar pulmonary arterial dilation
- Loss of peripheral blood vessel markings
- Enlarged right atrium, right ventricle and pulmonary arteries in advanced diseases.[4]
Shown below are chest X-ray images of patients with PH.
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This is a posteroanterior radiograph revealing enlarged pulmonary arteries in a patient with atrial septal defect. -
References
References
- ↑ Korobkova IZ, Lazutkina VK, Nizovtsova LA, Riden TV (2015). “[Radiographic assessment of pulmonary hypertension: Methodical aspects]”. Vestn Rentgenol Radiol (in Russian) (4): 45–53. PMID 26552229.
- ↑ Pienn M, Kovacs G, Tscherner M, Avian A, Johnson TR, Kullnig P, Stollberger R, Olschewski A, Olschewski H, Bálint Z (March 2014). “Non-invasive determination of pulmonary hypertension with dynamic contrast-enhanced computed tomography: a pilot study”. Eur Radiol. 24 (3): 668–76. doi:10.1007/s00330-013-3067-8. PMID 24311231.
- ↑ Cordova FC, D’Alonzo G (September 2013). “Sarcoidosis-associated pulmonary hypertension”. Curr Opin Pulm Med. 19 (5): 531–7. doi:10.1097/MCP.0b013e328363f4a3. PMID 23912192.
- ↑ Poch D, Mandel J (2021). “Pulmonary Hypertension”. Ann Intern Med. 174 (4): ITC49–ITC64. doi:10.7326/AITC202104200. PMID 33844574 Check
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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; José Eduardo Riceto Loyola Junior, M.D.[2]