in the presence of pulmonary hypertension there will be right ventricular hypertrophy and tricuspid regurgitation, a dilated right atrium and pulmonary artery
dilated left atrium - the carina will be splayed
pulmonary vessels:
increased flow through upper lobes as pulmonary vascular changes begin in the lower lobes
hydrostatic pressure increases pulmonary venous pressure in lower lobes
the pulmonary artery and branches dilate with pulmonary hypertension
Kerley's lines:
are caused by interlobular oedema and dilated lymphatics
they appear as horizontal line shadows at the costophrenic angles
Kerley's lines indicates a high left atrial, and pulmonary venous, pressure
in long standing and severe mitral stenosis there may be calcification of the mitral valve
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