enlarged pulmonary trunk on chest radiography
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/9/0/1/3/9/Schwere_pulmonale_Hypertonie_51W_-_CR_pa_-_001_thumb.jpg)
Schwere
pulmonale Hypertonie mit entsprechend prominenten Pulmonalarterien. Nebenbefundlich Trichterbrust wohl mit Z.n. Sternotomie.
![](https://pacs.de/sites/default/files/pictures/thumbs/upload.wikimedia.org/9/1/2/8/6/COPD_und_CTEPH_79W_-_CR_pa_-_001_thumb.jpg)
COPD und
CTEPH. Deutlich abgeflachte Zwerchfellkuppen beidseits. Prominente zentrale Pulmonalarterien mit Kalibersprung.
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/8/9/4/8/fc232b183277a720bf8fcefe023ecc_big_gallery_thumb.jpg)
Enlarged
pulmonary trunk on chest radiography (differential) • Pulmonary arterial hypertension - primary - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/8/9/4/9/57cf6d3ace0857e9472e29a2ce29be_big_gallery_thumb.jpg)
Enlarged
pulmonary trunk on chest radiography (differential) • Normal chest x-ray - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/0/7/8/3/9/7c19c364d62e4fcca53c8d5311bc2b_big_gallery_thumb.jpg)
Pulmonary
valve stenosis • Pulmonary valve stenosis - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/9/5/3/0d730e0b782fe7d8181e81cd3610b5_big_gallery_thumb.jpg)
Pulmonary
hypertension • Pulmonary arterial hypertension - Ganzer Fall bei Radiopaedia
![](https://pacs.de/sites/default/files/pictures/thumbs/data.pacs.de/1/2/5/9/5/5/fd22cc2054cc0908acf36710a6f007_big_gallery_thumb.jpg)
Pulmonary
hypertension • Pulmonary arterial hypertension - primary - Ganzer Fall bei Radiopaedia
The differential of an enlarged pulmonary trunk/main pulmonary artery on chest radiography includes:
- normal
- may appear prominent in young patients especially women
- projectional
- rotation
- lordotic view
- rotation of the heart
- pulmonary arterial hypertension (PAH)
- pulmonary embolism
- poststenotic dilatation
- pulmonary valve stenosis
- pulmonary artery coarctation
- increased pulmonary blood flow
- total anomalous pulmonary venous return (TAPVR)
- pregnancy
- high output cardiac failure
- thyrotoxicosis
- anaemia
- Marfan syndrome
- idiopathic dilatation of the pulmonary trunk: diagnosis of exclusion
- mimics
- enlarged left atrial appendage
- left hilar/mediastinal mass
Siehe auch:
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