Severe centrilobular emphysema
Presentation
Smoker with shortness of breath.
Patient Data
Age: 85 years
Gender: Male
From the case:
Severe centrilobular emphysema
CT
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Axial C+ arterial phase
The right lung parynchyma as well as the left lower lung lobe are replaced by multiple innumerable air filled cavities denoting severe centrilobular emphysema, this is associated with:
- a large left pleural effusion and pneumothorax with subsequent consolidation and collapse of the left upper lung lobe
- small right pleural effusion
Case Discussion
These findings are consistent with chronic obstructive pulmonary disease complicated by a hydro-pneuomothorax which is likely secondary to spontaneous bulla rupture.
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