Paraseptal emphysema and subpleural bullae

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

Shortness of breath in patient with long history of smoking.

Patient Data

Age: 65 years
Gender: Male

Multiple bilateral air filled cystic spaces with characteristic peripheral and subpleural location.

The ones ≤10 mm in diameter are considered paraseptal emphysema, and the ones with diameter >10 mm are considered bullae.

Case Discussion

65 years old smoker patient with shortness of breath. CT demonstrates bilateral pulmonary paraseptal emphysema as well as subpleural blebs/bullae.

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