021LU Emphysema, Cor Pulmonale and Pulmonary Hypertension

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71-year-old female presents with history emphysema
Chest X-ray shows hyperinflated lungs with flattened hemidiaphragms and increase in the retrosternal space and right ventricular enlargement based on the decrease in the retrosternal air space

EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD

CT scan confirms the presence of centrilobular emphysema, predominantly in the upper lobes with associated right atrial, right ventricular and pulmonary arterial enlargement. The LA and LV are normal
These findings are consistent with cor pulmonale and pulmonary hypertension, secondary to emphysema.

CENTRILOBULAR EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
The red arrows point to the soft tissues of the centrilobular emphysema consisting of the arterioles and bronchiolar walls (not usually visible.
Ashley Davidoff MD

CENTRILOBULAR EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD

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EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD

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ENLARGED MPA . >3CMS
EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD

The Common Vein

TCV