PMC5421086_01
Posteroanterior (PA) chest radiograph depicts an increased translucency of the whole right hemithorax and also severe lateral displacement of the mediastinal structures (a). In addition, the lateral view shows the hyperinflated lobe displacing the oblique fissure and also displacing the mediastinum (b).
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A chest radiograph revealed an increased translucency of the whole right hemithorax and lateral displacement of mediastinal structures (see Figure 1).
Chest CT scan depicts severe bullous changes, occupying approximately 85% of the right lung and displacing the mediastinum and left lung laterally. Smaller bullous changes are noted in the remaining aerated portion of the right lung. Some portions are significantly compressed between the bullous changes and the aerated portion of the lung. The left lung is also significantly compressed but remains aerated.
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A computed tomography (CT) scan of the chest with contrast was then requested to address the abnormalities noted on chest radiography and depicted severe bullous changes occupying approximately 85% of the right lung and displacing the mediastinum and left lung laterally (see Figure 2).
PA chest radiograph showing aeration of right upper lobe and postoperative opacification of the right lower lung field.
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Postoperative X-ray chest is shown in Figure 3.
Low and high power view show alveolar space with thin septa and changes consistent with emphysema.
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There was no associated inflammation or malignancy (Figures 4(a) and 4(b)).