Centri-lobular pulmonary emphysema

Case contributed by Dr Bruno Di Muzio

Presentation

Former smoker.

Patient Data

Age: 80
Gender: Male

CT Chest

Modality: CT

Focal lucencies (emphysematous spaces) which measure up to 1 cm in diameter, located centrally within the secondary pulmonary lobule, often with a central or peripheral dot representing the central bronchovascular bundle predominantly located in the upper zones of each lobe.

Case Discussion

Pulmonary emphysema is defined as the "abnormal permanent enlargement of the airspace distal to the terminal bronchioles accompanied by destruction of the alveolar wall and without obvious fibrosis". Centrilobular is by far the most common type encountered, and is a common finding in asymptomatic elderly patients.

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Case Information

rID: 19427
Case created: 8th Sep 2012
Last edited: 31st Aug 2015
System: Chest
Inclusion in quiz mode: Included

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