Centrilobular emphysema - with superimposed infection

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Dyspnea, chest pain and productive cough. The patient has been a heavy smoker for 30 years.

Patient Data

Age: 55 years
Gender: Male

Hyperintlated both lungs with patchy small areas of abnormal lucencies seen involving the upper and peripheral lobes of both lungs consistent with centrilobular emphysema. There is pneumonic consolidation with air bronchogram  formation involving the anterior segment of right upper lobe.

Case Discussion

Centrilobular emphysema has strong association with smoking and predisposes to other lung pathology, such as recurrent infection and malignancy.

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