Case of the Month 2015-10, Page 5

Answer: B) Pulmonary fibrosis

Anything that damages the pulmonary parenchyma or capillary bed can lead to pulmonary artery hypertension. Cardiac MRI was used to further evaluate cardiac function, revealing global hypokinesia of the right ventricle. There was no delayed enhancement.

For larger images, please click on Breath 5 , Breath 6 , Breath 7 and Breath 8 .

What is the best next step in management?

A) Blood test
B) Biopsy
C) PET scan
D) Pulmonary function testing

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