Findings, case of 45 y/o woman, hx COPD

Imaging Findings

PA and lateral radiographs reveal severe emphysema, linear opacity in the left upper lobe, some hilar retraction (perhaps caused by fibrosis), and a few circumscribed nodules in the area of the 4th or 5th rib. In addition, the left apex is abnormal.

Computed tomograms obtained a short time later demonstrate severe emphysema with a cavity and some fluid-density bullae in the left upper lobe. The wall demarcated by lung is thin, perhaps with adjacent pleural thickening. Nodules with central calcification are visible, as are areas of consolidative/nodular opacity (perhaps representing bronchiectasis).

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