Radiographic findings in pulmonary hypertension from unresolved embolism.


Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Woodruff, WW; Hoeck, BE; Chitwood, WR; Lyerly, HK; Sabiston, DC; Chen, JT

Published Date

  • April 1985

Published In

Volume / Issue

  • 144 / 4

Start / End Page

  • 681 - 686

PubMed ID

  • 3872021

Pubmed Central ID

  • 3872021

International Standard Serial Number (ISSN)

  • 0361-803X

Digital Object Identifier (DOI)

  • 10.2214/ajr.144.4.681


  • eng

Conference Location

  • United States