EURORAD ESR

Case 14279

Hepatopulmonary syndrome and portopulmonary hypertension: a case report

Author(s)
P. Sergio, P. Ceruti, M. Ceruti, A. Dell'Osso

AZIENDA OSPEDALIERA DI CREMONA, CREMONA (ITALY); Email:pietrosergio78@yahoo.it
 
Patient
female, 47 year(s)
 
 
  • Figure 1
    Axial CT images
     

    Axial CT image, mediastinal window: the main pulmonary artery is enlarged, at this level it presents a caliber of 38mm. No further mediastinal anomalies are evident.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Axial CT image, mediastinal window: the main pulmonary artery is enlarged, at this level it presents a caliber of 32mm. No further mediastinal anomalies are evident.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 2
    Axial-CT images
     

    Axial CT image at upper zone, lung window: the lungs show a marked and diffuse dilatation of pulmonary veins and arteries at upper, middle and lower zones.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Axial CT image at middle zone, lung window.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;

    Axial CT image at lower zone, lung window: the vessel dilatation is more evident in the lower zones, small and hazy ground glass areas are also evident.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Haemodynamics / Flow dynamics;
     
     
  • Figure 3
    Axial CT image

    Abdominal contrast-enhanced CT shows liver signs of cirrhosis: tortuous hepatic arteries, enlarged lobe caudate, volume reduction of right lobe, irregular liver edges. A perihepatic and perisplenic amount of ascites...

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Cirrhosis;
     
     
Axial CT image, mediastinal window: the main pulmonary artery is enlarged, at this level it presents a caliber of 38mm. No further mediastinal anomalies are evident.
 
Axial CT image, mediastinal window: the main pulmonary artery is enlarged, at this level it presents a caliber of 32mm. No further mediastinal anomalies are evident.
 
Axial CT image at upper zone, lung window: the lungs show a marked and diffuse dilatation of pulmonary veins and arteries at upper, middle and lower zones.
 
Axial CT image at middle zone, lung window.
 
Axial CT image at lower zone, lung window: the vessel dilatation is more evident in the lower zones, small and hazy ground glass areas are also evident.
 
Abdominal contrast-enhanced CT shows liver signs of cirrhosis: tortuous hepatic arteries, enlarged lobe caudate, volume reduction of right lobe, irregular liver edges. A perihepatic and perisplenic amount of ascites is also evident.
 
 
 
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