Pulmonary hypertension chest x ray

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Pulmonary Hypertension Microchapters


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Differentiating Pulmonary hypertension from other Diseases

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Case #1

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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.


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 chest X-ray. Findings of PH on chest X-ray include pulmonary artery dilatation and right sided enlargement of the heart. Chest X-ray allows the exclusion of left heart disease and lung disease that can lead to group 2 and group 3 PH, respectively.

Chest X Ray

Findings of PH on chest X-ray include:[1][2][3]

  • Hilar pulmonary arterial dilation
  • Loss of peripheral blood vessel markings
  • Enlarged right atrium and right ventricle in advanced diseases

Shown below are chest X-ray images of patients with PH.


  1. 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.
  2. 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.
  3. 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.