Presentation
Heavy smoker, dyspnea.
Patient Data
Age: 65 years
Gender: Male
From the case:
Centrilobular pulmonary emphysema
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Bilateral centrilobular emphysema with upper lobe predominance, their presence, and extent are easier to appreciate on the MinIP image. No mass lesion, acute pneumonic process, or pneumothorax. No feature of lung fibrosis or pulmonary hypertension.
Case Discussion
Centrilobular emphysema with normal lung attenuation intervening between areas of lung destruction however areas of lobular hyper expansion, architectural distortion, and vessel splaying were noted mainly at the left upper lobe which could represent regional advanced destructive emphysema.
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