Presentation
Severe breathlessness and recurrent infections
Patient Data
Age: 50 years
Gender: Male
From the case:
Pan-lobular emphysema due to alpha-1-antitrypsin deficiency
Frontal
Emphysema. Hyperexpansion with flattened diaphragms
From the case:
Pan-lobular emphysema due to alpha-1-antitrypsin deficiency
Axial lung window
Pan-lobular emphysema. Widespread severe emphysema with basal predominance.
Case Discussion
Pan-lobular emphysema with characteristic basal predominance. Severe destruction of the basal segments. Widespread tracheal diverticulae that extend into the lower bronchial tree - associated with severe emphysema.
Subsequent investigation confirmed alpha-1-antitrypsin deficiency.
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