
Hopefully this CxR will project fairly clearly. This is a 70 y/o man who finally quit smoking and has significant DOE. His PFTs on bronchodilators show some hyperinflation, very reduced DLCO and FVC~60% with FEV~33%. What do you think of his CxR?
Discussion of interesting or befuddling cases related to pulmonary and critical care medicine.
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It looks like he has airspace disease in the lingula. There may be some haziness on the right mid lung zone too, but can't be sure. In a smoker with bad COPD I would think about pneumonia and cancer.
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