EURORAD ESR

Case 12500

Pulmonary hypertension secondary to sickle cell disease

Author(s)
Bernardo Silvia1, Haque Saira2

(1) Department of Radiological, Oncological
and Pathological Sciences,
“Sapienza” University of Rome, Italy;
Email:silviabernardo@live.it
(2) King's College Hospital, London, UK
 
Patient
male, 10 year(s)
 
 
  • Figure 1
    Chest radiograph

    Chest radiograph demonstrates findings of pulmonary hypertension including central pulmonary arterial dilatation, pruning of the peripheral arteries and increased diameter of the right interlobar artery.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Conventional radiography; Procedure: Complications; Special Focus: Hypertension;
     
     
  • Figure 2
    Measurement of the PA and A diameters

    Measurement of the PA and A diameters at the PA bifurcation. A = aorta (red line); PA = pulmonary artery (blue line). PA/A = 1.2, pathologic value (N.V. PA/A < 1).

     
    Area of Interest: Arteries / Aorta; Haematologic; Paediatric; Imaging Technique: CT; CT-Angiography; Procedure: Contrast agent-intravenous; Special Focus: Haematologic diseases;
     
     
  • Figure 3
    Reticular pattern

    Reticular pattern in the left upper lobe (white arrow)

     
    Area of Interest: Haematologic; Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haematologic diseases;
     
     
  • Figure 4
    Mosaic pattern

    Mosaic pattern of lung attenuation. The hypodense areas in the middle lobe represent decreased perfusion secondary to microvascular occlusion.

     
    Area of Interest: Haematologic; Imaging Technique: CT; CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Haematologic diseases;
     
     
  • Figure 5
    Right atrial enlargement

    Right atrial enlargement due to high pulmonary artery pressures.

     
    Area of Interest: Haematologic; Imaging Technique: CT; CT-High Resolution; Procedure: Contrast agent-intravenous; Special Focus: Haematologic diseases;
     
     
  • Figure 6
    Sagittal CT bony reconstruction

    Sagittal CT bony reconstruction of thoracic spine shows sharply delineated central endplate depressions in the thoracic vertebral bodies secondary to microvascular endplate infarction (H-type vertebra).

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Computer Applications-3D; Special Focus: Acute;
     
     
Chest radiograph demonstrates findings of pulmonary hypertension including central pulmonary arterial dilatation, pruning of the peripheral arteries and increased diameter of the right interlobar artery.
 
Measurement of the PA and A diameters at the PA bifurcation. A = aorta (red line); PA = pulmonary artery (blue line). PA/A = 1.2, pathologic value (N.V. PA/A < 1).
 
Reticular pattern in the left upper lobe (white arrow)
 
Mosaic pattern of lung attenuation. The hypodense areas in the middle lobe represent decreased perfusion secondary to microvascular occlusion.
 
Right atrial enlargement due to high pulmonary artery pressures.
 
Sagittal CT bony reconstruction of thoracic spine shows sharply delineated central endplate depressions in the thoracic vertebral bodies secondary to microvascular endplate infarction (H-type vertebra).
 
 
 
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