Presentation
History of productive cough and green colored sputum.
Patient Data
Age: 65 year
Gender: Female
From the case:
Chronic obstructive pulmonary disease
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No evidence of pulmonary infiltrate.
Bilateral overinflated lungs with flattened hemidiaphragms.
Increased lucency of both lungs with decreased vascularity.
No pneumothorax.
Relatively small cardiac shadow.
Chilaiditi sign, i.e. colon interposed between the diaphragm and the liver.
Case Discussion
On a plain radiograph, pulmonary emphysema manifests as lung hyperinflation, flattened hemidiaphragms, and small heart; all findings present in current cases.