All the following are radiological features of Chronic Cor pulmonale except :
Answer is B (Prominent lower lobe vessels) Congestive cardiac failure or corptilmonale are associated with prominence of upper lobe vessels and not lower lobe vessel' Features of Congestive Cardiac Failure(CCF / CHF) include : Enlarged cardiac silhouette / Cardiac shadow on chest X-ray e Ground glass appearance of pulmonary edema Q 'Kerley B' lines 2 Prominence of upper lobe blood vessels Q (not lower lobe veins) Pleural effusion, usually bilateral `Kerley B' lines', also known as 'Septal lines', represent dilated lymphatics and distended interlobular septa. They occur most commonly in pulmonary edema as a result of chronic pulmonary venous hypeension (in CCF). Kerley 'A' lines stand for Apex, 73' for Base, and 'C' for Central region. B lines are most commonly seen Q.Infact they have a relation with left atrial pressure Q :They are invariably present if LA pressure goes above 20 mmHg.deg
Kerley B lines
Prominent lower lobe vessels
Pleural effusion
Cardiomegaly