... individuals. Diagnosis based on clinical examination and radiology is not always easy, and a large proportion of cases are likely to be missed. As mentioned above, accentuation of P2 was our principal ... hypertrophy, against a mild to moderate, long continued, strain of pulmonary hypertension. Another explanation, or part of it, may be that our present-day chemotherapy causes fibrosis, hyalinisation and ... decrease in parenchymal elasticity due to chronic inflammatory process, leading to impaired gas exchange, and also, interference with the normal rhythmic changes in pulmonary vascular capacity and...