Severe emphysema

Case contributed by Ian Bickle


Known emphysema. Severe SOB.

Patient Data

Age: 65 years
Gender: Male

Severe bilateral emphysema with large volume bullous disease in the right upper and left lower lobes.

Segmental collapse of the right middle lobe.

Heart size normal.


The right upper lobe is replaced by a single large bulla.

Extensive bullous disease in the left lower lobe.

Segmental collapse in the right middle lobe.

Normal mediastinum.

Small hiatus hernia.

Nuclear medicine

No PE.

Extension perfusion deficits due to the bullous disease illustrated on the CT scan, best illustrated in the right upper lobe.

Case Discussion

This case illustrates a case of severe bullous emphysema.  

The greatest merit of the case is in illustrating the impact that bullous emphysema or other structural lung disease has on VQ scan appearances and one's ability to interpret if a pulmonary embolism is present.

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.