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Chronic Thromboembolic Pulmonary Hypertension (CTEPH)

Imaging findings

Radiograph shows large central pulmonary arteries and right ventricular enlargement. CT reveals wall-adherent chronic clot, webs, and mosaic attenuation. VQ scan shows multiple ventilation and perfusion defects.

Key takeaways

CTEPH should be considered in patients presenting with unexplained shortness of breath and pulmonary hypertension signs, even without a history of acute PE. Remodeling features are distinct from acute PE.

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