Hyperinflated lungs

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Longstanding asthma. Shortness of breath.

Patient Data

Age: 41
Gender: Female
x-ray

Flattened hemidiaphragms.

> 10 posterior ribs in the midclavicular line above the diaphragm.

Hyperlucent lungs

 

Case Discussion

Hyperinflated lungs are present in many chronic chest conditions in particular COPD and asthma.

This may be evidenced by:

a. Flattened hemidiphragms

b. Hyperlucent lungs ( less bronchovascular markings per cm2)

c. More than 6 anterior or 10 posterior ribs in the mid-clavicular line at the lung diaphragm level.

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