Centri-lobular pulmonary emphysema

Case contributed by Dr Bruno Di Muzio


Former smoker.

Patient Data

Age: 80
Gender: Male

CT Chest

Focal lucencies (emphysematous spaces) which measure up to 1 cm in diameter, located centrally within the secondary pulmonary lobule, often with a central or peripheral dot representing the central bronchovascular bundle predominantly located in the upper zones of each lobe.

Case Discussion

Pulmonary emphysema is defined as the "abnormal permanent enlargement of the airspace distal to the terminal bronchioles accompanied by destruction of the alveolar wall and without obvious fibrosis". Centrilobular is by far the most common type encountered, and is a common finding in asymptomatic elderly patients.

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Case information

rID: 19427
Published: 8th Sep 2012
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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