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. 2022 Mar;11(2):82–97. doi: 10.21037/acs-2021-pte-12

Table 2. Findings of pre-existing CTEPH on computed tomography pulmonary angiography.

Direct vascular signs
   Eccentric wall-adherent filling defect(s), which may calcify; different from the central filling defects within a distended lumen, which are the hallmark of acute PE
   Abrupt tapering and truncation
   Complete occlusion and pouch defects
   Intimal irregularity
   Linear intraluminal filling defects (intravascular webs and bands)
   Stenosis and post-stenotic dilatation
   Vascular tortuosity
Indirect vascular signs
   Significant RV hypertrophy, RA dilatation
   Pericardial effusion
   Dilatation of pulmonary artery (>29 mm in men and >27 mm in women) and/or calcifications of pulmonary artery
   Systemic collateral arterial supply (bronchial arterial collaterals towards pulmonary post-obstructive vessels)
Parenchymal changes
   Mosaic attenuation of the lung parenchyma resulting in geographical variation in perfusion

Data from (12,27). CTEPH, chronic thromboembolic pulmonary hypertension; PE, pulmonary embolism; RV, right ventricular; RA, right atrial.