Features of pulmonary venous hypeension are A/E -: (A) Peribroncheal cuffing, (B) Upper lobar diversion, (C) Uniformly branching lines parallel to pleura, (D) Pulmonary ossicles & fine nodular pattern
Answer is D. Upper lobe venous diversion is the first radiological sign of pulmonary venous hypeension ( PVH ) . Other features of PVH include Kerley B lines (these are parallel to each other but perpendicular to pleura) ,perihilar haze , peribronchial cuffing ,pulmonary ossicles ,fine punctuate calcification and perihilar bat wing pattern.