CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSISEISENBERG

1. 18Hypertensive Cardiovascular
Disease*

2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

3. • Fig CA 18-1 Essential (idiopathic) hypertension.
(A) Frontal and (B) lateral views of the chest
demonstrate characteristic tortuosity of the aorta
(arrows), especially the ascending portion.
Because the elevated blood pressure has caused
left ventricular hypertrophy without dilatation,
the radiographic appearance of the cardiac
silhouette remains normal.

4. Fig CA 18-2 Renovascular hypertension. Bilateral arteriosclerotic renal
artery stenoses (arrowhead, arrow).

5. • Fig CA 18-3 Renovascular hypertension. String-
of-beads pattern of fibromuscular dysplasia
bilaterally.