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What do oligemia in the lungs, pulmonary bay, and right ventricular hypertrophy in an X-ray chest indicate?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My nephew is 1-month-old, and today we carried out an X-ray of his chest. The report shows oligemia in the lungs, pulmonary bay, right-sided aorta, and right ventricular hypertrophy. Is it due to congenital heart disease? Kindly suggest.

Hello,

Welcome to icliniq.com

The baby's chest X-ray with oligemia in the lungs, pulmonary bay, right-sided aorta, and right ventricular hypertrophy is suggestive of a congenital heart defect, likely an atrial septal defect that is a hole in the partition of the heart. It will require dedicated work about the defect's size, cardiac function, shunt evaluation regarding the mixing of oxygenated and de-oxygenated blood, and structural modulations secondary to the defect. I would suggest a 2D echocardiogram for follow-up.

Thank you.

Medically reviewed byiCliniq medical review team

Published At December 2, 2022
Reviewed AtJune 20, 2024

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