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American Journal of Roentgenology, Vol 144, Issue 4, 681-686
Copyright © 1985 by American Roentgen Ray Society

Articles

Radiographic findings in pulmonary hypertension from unresolved embolism

WW Woodruff 3rd, BE Hoeck, WR Chitwood Jr, HK Lyerly, DC Sabiston Jr, and JT Chen

Pulmonary artery hypertension with chronic pulmonary embolism is an uncommon entity that is potentially treatable with pulmonary embolectomy. Although the classic radiographic features have been described, several recent investigators report a significant percentage of these patients with normal chest radiographs. In a series of 22 patients, no normal radiographs were seen. Findings included cardiomegaly (86.4%) with right-sided enlargement (68.4%), right descending pulmonary artery enlargement (54.5%), azygos vein enlargement (27.3%), mosaic oligemia (68.2%), chronic volume loss (27.3%), atelectasis and/or effusion (22.7%), and pleural thickening (13.6%). Good correlation with specific areas of diminished vascularity was seen on chest radiographs compared with pulmonary angiograms.
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