Size Pulmonary Artery CXR

27-year-old female presents with dyspnea and a past history of SLE, Raynaud’s disease, and Lupus nephritis.
Chest X-ray shows cardiomegaly with right ventricular configuration on the PA and an enlarged main and probably left pulmonary and an enlarged descending RPA. The lateral confirms the enlarged RV and raises the possibility of LV enlargement.
The CT scan confirms an enlarged MPA, RPA, RA and RV, and shows calcification on the posterior leaflet of the mitral valve consistent with Libman Sacks vegetation. There is mild ground glass opacity at the lung bases but no sign of ILD.

CARDIOMEGALY WITH RVE and LARGE PA
SLE and PULMONARY HYPERTENSION without ILD

A current non contrast abdominal CT shows a pericardial effusion and normal sized kidneys
Ashley Davidoff MD

LARGE PA SLE and PULMONARY HYPERTENSION without ILD
27-year-old female presents with dyspnea and a past history of SLE, Raynaud’s disease, and Lupus nephritis.
Chest X-ray shows cardiomegaly with right ventricular configuration on the PA and an enlarged main and probably left pulmonary and an enlarged descending RPA. The lateral confirms the enlarged RV and raises the possibility of LV enlargement.
The CT scan confirms an enlarged MPA, RPA, RA and RV, and shows calcification on the posterior leaflet of the mitral valve consistent with Libman Sacks vegetation. There is mild ground glass opacity at the lung bases but no sign of ILD.
A current non contrast abdominal CT shows a pericardial effusion and normal sized kidneys
Ashley Davidoff MD
SLE and PULMONARY HYPERTENSION without ILD
Ashley Davidoff MD
RVE AND RVH, LIBMAN SACKS
SLE and PULMONARY HYPERTENSION without ILD
Ashley Davidoff MD

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