[Case of hepatopulmonary syndrome with no vascular dilation in chest CT].
A 69-year-old man afflicted with alcoholic liver cirrhosis complained of dyspnea on effort. His chest CT shows moderate emphysema, and no vascular dilation. An intrapulmonary shunt study using 99mTc-MAA revealed 43% shunt to whole body. Hepatopulmonary syndrome was diagnozed, and he was treated with home oxygen therapy. There is a possibility that the chest CT of patient with hepatopulmonary syndrome complicating emphysema shows no vascular dilation.
Taniguchi
Hirokazu
H
Department of Internal Medicine, Toyama Prefectural Central Hospital.
Kanbara
Kenta
K
Imanishi
Shingo
S
Abo
Hitoshi
H
Izumi
Saburo
S
D000368:Aged; D001808:Blood Vessels / Q000473:pathology; D004108:Dilatation, Pathologic; D020065:Hepatopulmonary Syndrome / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D006699:Home Care Services; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008168:Lung / Q000098:blood supply* / Q000000981:diagnostic imaging*; D008297:Male; D010102:Oxygen Inhalation Therapy; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging / Q000209:etiology; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed