Severe centrilobular emphysema

Case contributed by Mohammad Farghali Ali Tosson , 2 Oct 2017
Diagnosis almost certain
Changed by Mostafa Elfeky, 9 Feb 2023
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

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.