Mosaic attenuation pattern due to pulmonary artery hypertension

Case contributed by Bruno Di Muzio
Diagnosis probable

Presentation

Patient with sinus node disease, atrial fibrillation and hypertension. Scheduled for placement of a cardiac pacemaker. CT of the chest was requested to investigate possible interstitial associated pneumonia.

Patient Data

Age: 80 years
Gender: Female

The lungs show a pattern of mosaic attenuation. Cardiomegaly and dilated pulmonary arterial vasculature. 

Case Discussion

This case illustrates mosaic attenuation pattern presumed due to the known chronic pulmonary hypertension, which is secondary to heart disease. 

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