Rahul Dinkar Renapurkar MD, Presenter: Nothing to Disclose

Joseph Thomas Azok MD, Abstract Co-Author: Nothing to Disclose

Jason K. Lempel MD, Abstract Co-Author: Nothing to Disclose

Ruchi Yadav MD, Abstract Co-Author: Nothing to Disclose

Ahmed El-Sherief MD, Abstract Co-Author: Nothing to Disclose

Charles T. Lau MD, Abstract Co-Author: Nothing to Disclose

The purpose of this exhibit is: 1) To discuss the general thoracic manifestations in chronic liver disease. 2) To highlight specific disorders which involve the hepatopulmonary axis. 3) To understand the role of imaging in evaluation of chest manifestations of disorders of hepatopulmonary axis.

A) General manifestations in chronic liver disease 1) Chest wall-Gynecomastia and collaterals 2) Mediastinum -Dilation of azygos system -Diaphragmatic lymphadenopathy -Transthoracic migration of ascitic fluid -Varices 3) Pulmonary and pleural -Pleural effusions -Pulmonary infections -Pulmonary Edema 4) Vascular -Portopulmonary hypertension -Hepatopulmonary syndrome B) Chest manifestations in specific diseases involving the hepatopulmonary axis 1) Hepatitis C associated lung disease -Pulmonary fibrosis 2) Alpha 1 antitrypsin deficiency -Emphysema and bronchiectasis 3) Cystic fibrosis -Bronchiectasis 4) Hereditary hemorrhagic telangiectasia -Pulmonary AVMs 5) Sarcoidosis and other granulomatous diseases -Pulmonary nodules and lymphadenopathy 6) Infections such as Echinococcosis and E. histolytica -Pulmonary and pleural involvement 7)Neoplastic diseases such as Hepatocellular carcinoma and lymphoma 8) Drug reactions -Amiodarone -Complications of antiviral therapy  

http://abstract.rsna.org/uploads/2014/14008822/14008822_fgno.pdf

Renapurkar, R, Azok, J, Lempel, J, Yadav, R, El-Sherief, A, Lau, C, When a Harmonious Relationship Goes Wrong: Chest Manifestations in Disorders of Hepatopulmonary Axis.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14008822.html