Pulmonary hypertension

Case contributed by Bernardo Jose Meza

Presentation

Dyspnea.

Patient Data

Age: Adult
Gender: Female
x-ray

Enlarged pulmonary arteries, pruning of peripheral pulmonary vessels and cardiomegaly.

Case Discussion

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.

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