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Isolated Enlarged Pulmonary Artery Enlargement
Enlarged Pulmonary Artery on CXR
- Causes
- Idiopathic Dilatation of the Pulmonary Artery
- Pulmonary Stenosis Absent Pulmonary Valve
- Pulmonary Hypertension
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- resting mean PA pressure of >25mmHg
- Normal mean <12mmHg
- Normal systolic <20mmHg
- Increased Pressure
- Left Heart Failure
- Lung Disease Cor Pulmonale
- Recurrent PE’s
- Other
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- Drugs
- fenfluramine
- dexfenfluramine
- toxic rapeseed
- oilamphetamines
- L-tryptophan
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- HIV-associated pulmonary arterial hypertension
- Hepatopulmonary Syndrome
- Connective tissue disease (vasculitis)
- Idiopathic
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Left ventricular Enlargement Left Atrial Enlargement Enlarged Pulmonary Artery and Increased
CHF
VSD Large PDA
CXR and Cardiomegaly
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Mitral Stenosis
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- Enlargement of the vertical vein
- Innominate vein
- SVC
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Enlarged pulmonary artery
Pruning
DX Pulmonary Hypertension
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Enlarged left ventricle
Narrow Mediastinum
Increase Pulmonary Blood Flow
DTGA
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Enlarged Right ventricle Boot Shaped heart
Small Pulmonary artery
Question Right Aortic Arch
Tetralogy of Fallot
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- Abnormal Soft tissue in the region of the AP window
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- Anatomical differential
- aorta
- MPA
- lymph nodes
- left atrial appendage
LTGA
Left atrial appendage abnormalities See Left Atrium
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Congenital Absence of the Pericardium
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- Enlarged Right Atrium
- Box Shaped heart
Ebsteins Anomaly
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Dextrocardia
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Pericardium
Waterbottle Heart
Pericardial Effusion
Tamponade