Presentation
Smoker with shortness of breath.
Patient Data
Age: 85 years
Gender: Male
From the case:
Severe centrilobular emphysema
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Info
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The right lung parenchyma 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-pneumothorax which is likely secondary to spontaneous bulla rupture.