A member asked:

Would a ct scan indicating increased hepatic venous pressure be reason to suspect pulmonary hypertension with no other pulmonary symptoms?

5 doctors weighed in across 3 answers
Dr. William Walsh answered

Specializes in Addiction Medicine

Indirect measure: Ct scans are terrible at measuring or estimating pressure or slow. A dilated hepatic vein or hepatic congestion may be suggestive of back flow from the inferior vena cava, but not why (eg stating the pulmonary artery is the source is making a leap). Investigate further.

Answered 3/12/2020

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Among other things: Abdominal ct scans may show evidence of abnormal circulation in the liver, which then involves a careful assessment of the possible reasons. Pulmonary hypertension would be one possible cause, but that is a diagnosis made based on additional tests. Symptoms of pulmonary hypertension, such as shortness of breath, may not be present at time of diagnosis. Doctor follow-up advised for more workup.

Answered 10/2/2015

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Dr. Charles Burger answered

Specializes in Internal Medicine - Pulmonary Critical Care

Yes: The ct findings may reflect increased right heart pressure and pulmonary hypertension. Further evaluation is necessary to be sure.

Answered 3/13/2016

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