Smoking patient with complaints of prolonged coughing, wheezing, and nodule seen on the previous x-ray.
CT Chest (selected images)
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Subpleural blebs and small focal lucencies up to 10mm in size.
Para-septal emphysema affects the peripheral parts of the secondary pulmonary lobule and is usually located adjacent to the pleural surfaces (including pleural fissures). It is also associated with smoking and can lead to the formation of subpleural bullae and spontaneous pneumothorax.