Chest X-Ray

The chest x-ray is abnormal in 90% of people with idiopathic pulmonary arterial hypertension (IPAH) at the time of diagnosis.  Typical changes include enlarged pulmonary arteries with peripheral pruning of vessels and cardiomegaly.   There may be changes suggesting an alternative cause of pulmonary hypertension such as lung disease or pulmonary venous congestion.

Chest X-ray.jpg

Figure 1.  Typical chext X-ray in IPAH 

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