Cardiothoracic Imaging
Contents Anatomy Techniques Findings Cases References


Chronic hypertension

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Follow-up radiograph

Echo LPLA view
Echo LPLA view


Chest radiographs of patients with hypertension generally are nonspecific. In this 44 y.o. male with malignant hypertension the only suggestive finding is the prominence of the ascending aorta appearing as a bulge in the upper mediastinum on the patient's right. This is caused by an ectatic unwinding of the ascending aorta in response to the high arterial pressures. Note that the cardiac silhouette does not appear to be significantly enlarged since the major abnormality is increase in thickness in the myocardial wall rather than dilation of the ventricle.


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Copyright 2004, Yale University School of Medicine. All rights reserved.
December 18, 2004 (PL)
version b.003