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©2013 UpToDate ® Print Email Pulmonary hypertension This plain frontal chest radiograph from a 50-year-old male demonstrates prominence of the interstitial pulmonary markings with enlargement of the right and left ventricle and the right atrium (black arrow). Additionally, large central, but attenuated peripheral pulmonary arteries are noted (white arrow), all features characteristic of pulmonary hypertension. Photo courtesy of Jonathan Kruskal, MD. Normal chest radiograph Posteroanterior view of a normal chest radiograph. Courtesy of Carol M Black, MD.