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Medicine All India exam 899b017e

All of the following radiologic features are seen in patients with chronic cor pulmonale, except

A
Prominence of pulmonary aery segment
B
Kerley's B lines
C
Dilatation of the main pulmonary aeries
D
Attenuated pulmonary vessels in lateral one third of the lung fields
High-Yield Explanation
Diagnosis of Chronic cor pulmonale:Chest X-rayECGECHORight ventricular hyperophyRight atrial dilatationProminent pulmonary aeryPeripheral lung fields show reduced vascular markingsFeatures of hyperinflation: Widened intercostal space, increased translucency of lung and flattened diaphragm. Right ventricular hyperophy Right axis detionProminent R wave in lead V1 & inveed T waves in right precordial leadsLarge S in Lead I, II and IIILarge Q in lead IIITall Peaked P waves (P pulmonale) in lead II, III and aVF.Right ventricular dilatation and tricuspid regurgitation(Refer: Harrison's Principles of Internal Medicine, 18th edition, pg no: 1913-1915)

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