Severe Pulmonary Hypertension on Echocardiogram Pulmonary hypertension results in compensatory changes to the RV. The RV appears rectangular (from A4C) with prominence of the moderator band and trabecular. Omid Kiamanesh, MD @OKiamanesh #Pulmonary #Hypertension #PHTN #Echocardiogram #clinical #cardiology #pocus