49 years old male with hypoxemia

Case provided by Simone History 49 years old male with stress dyspnea and known liver¬†cirrhosis. Blood gas analysis: pO2 62 mmHg. ¬†Imaging findings Abdominal computed tomography shows evidence of liver cirrhosis with status post transjugular intrahepatic stent shunt (A). The chest scans shows dilated pulmonary vessels abnormally extending to the subpleural space and being accentuated…