Severe centrilobular emphysema
Diagnosis almost certain
Disclosures
- updated 11 May 2022:
Nothing to disclose
Updates to Case Attributes
Body
was changed:
These findings are consistent with chronic obstructive pulmonary disease complicated by a hydro-pneuomothorax-pneumothorax which is likely secondary to spontaneous bulla rupture.
-<p>These findings are consistent with <a title="Chronic obstructive pulmonary disease" href="/articles/chronic-obstructive-pulmonary-disease-1">chronic obstructive pulmonary disease</a> complicated by a <a title="Hydro-pneumothorax" href="/articles/hydropneumothorax">hydro-pneuomothorax</a> which is likely secondary to spontaneous <a title="Pulmonary bullae" href="/articles/pulmonary-bullae">bulla</a> rupture.</p>- +<p>These findings are consistent with <a href="/articles/chronic-obstructive-pulmonary-disease-1" title="Chronic obstructive pulmonary disease">chronic obstructive pulmonary disease</a> complicated by a <a href="/articles/hydropneumothorax" title="Hydro-pneumothorax">hydro-pneumothorax</a> which is likely secondary to spontaneous <a href="/articles/pulmonary-bullae" title="Pulmonary bullae">bulla</a> rupture.</p>
Updates to Study Attributes
Findings
was changed:
The right lung parynchymaparenchyma as well as the left lower lung lobe are replaced by multiple innumerable air filled-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
Images Changes:
Image CT (C+ arterial phase) ( update )
Cropped
image
Image CT (C+ arterial phase) ( update )
Cropped
image