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

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
EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD
EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD

 

EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD

115601.8.jpg

EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD
NORMAL LEFT ATRIAL SIZE
EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION

Ashley Davidoff MD

ENLARGED RIGHT ATRIUM AND RIGHT VENTRICLE
EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD
ENLARGED RIGHT ATRIUM AND RIGHT VENTRICLE
EMPHYSEMA, COR PULMONALE and PULMONARY HYPERTENSION
Ashley Davidoff MD

115596.8.jpg

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