Patient presented with dyspnea.
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Enlarged pulmonary arteries, pruning of peripheral pulmonary vessels and cardiomegaly.
The patient presented with dyspnea also symptoms and signs of elevated right heart pressures. A CT was done to confirm the diagnosis - the pulmonary trunk measured 4.5 cm.
Pulmonary hypertension may be primary or secondary in nature. Parenchymal lung disease is often responsible in secondary cases. CT is invaluable in the workup of these patients.