CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH EMPHYSEMA AND GIANT BULLAE IN A SMOKER
Radiation diagnosis in evaluating chronic obstructive pulmonary disease (COPD) is used to distinguish clinically similar diseases and to identify concomitant pathological changes. Highresolution computed tomography (HRCT) is employed for detailed analysis of the status of the lung. HRCT can visualiz...
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| Format: | Article |
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Luchevaya Diagnostika, LLC
2018-08-01
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| Series: | Вестник рентгенологии и радиологии |
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| Online Access: | https://www.russianradiology.ru/jour/article/view/364 |
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| author | Zh. V. Sheykh E. V. Nikolaev I. E. Tyurin K. G. Zhestkov V. G. Alekseev V. V. Poddubnyy A. V. Arablinskiy Ya. R. Gazaryan S. V. Klimko K. V. Myshkin O. O. Kurzantseva |
| author_facet | Zh. V. Sheykh E. V. Nikolaev I. E. Tyurin K. G. Zhestkov V. G. Alekseev V. V. Poddubnyy A. V. Arablinskiy Ya. R. Gazaryan S. V. Klimko K. V. Myshkin O. O. Kurzantseva |
| author_sort | Zh. V. Sheykh |
| collection | DOAJ |
| description | Radiation diagnosis in evaluating chronic obstructive pulmonary disease (COPD) is used to distinguish clinically similar diseases and to identify concomitant pathological changes. Highresolution computed tomography (HRCT) is employed for detailed analysis of the status of the lung. HRCT can visualize primarily centrilobular, panlobular, paraseptal, and bullous emphysema and bronchiectases, is of great importance in the anatomical characteristics of the disease and in the identification of the phenotype of COPD.The paper describes a clinical case of COPD with bullous emphysema in a 60-year-old man. The CT pattern presents with lower-density bilateral multiple centrilobular avascular areas without clear boundaries, as well as by paraseptal emphysema areas, also localized mainly in the lower segments of both lungs, with thin-walled air cavities occupying up to one third of the hemithorax on both sides. CT made it possible to visualize upperlobular centrolobular emphysema, pulmonary bullae, to estimate their sizes, and to identify compression atelectasis in the adjacent lung areas. The differential diagnosis included bronchiectasis disease, histiocytosis X, and lung carcinoma.This clinical case demonstrates that HRCT is the method of choice for differential diagnosis, a follow-up, and assessment of the results of treatment for COPD with a preponderance of bullous emphysema, including in the presence of a doubtful radiographic pattern. |
| format | Article |
| id | doaj-art-cd2d33298b9f49088476095a6d004ebc |
| institution | Kabale University |
| issn | 0042-4676 2619-0478 |
| language | English |
| publishDate | 2018-08-01 |
| publisher | Luchevaya Diagnostika, LLC |
| record_format | Article |
| series | Вестник рентгенологии и радиологии |
| spelling | doaj-art-cd2d33298b9f49088476095a6d004ebc2025-08-20T03:35:07ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782018-08-0199420421010.20862/0042-4676-2018-99-4-204-210246CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH EMPHYSEMA AND GIANT BULLAE IN A SMOKERZh. V. Sheykh0E. V. Nikolaev1I. E. Tyurin2K. G. Zhestkov3V. G. Alekseev4V. V. Poddubnyy5A. V. Arablinskiy6Ya. R. Gazaryan7S. V. Klimko8K. V. Myshkin9O. O. Kurzantseva10Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation; S.P. Botkin City Clinical Hospital of Department of Healthcare of Moscow.Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation.Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation.Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation.S.P. Botkin City Clinical Hospital of Department of Healthcare of Moscow.Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation; S.P. Botkin City Clinical Hospital of Department of Healthcare of Moscow.S.P. Botkin City Clinical Hospital of Department of Healthcare of Moscow.Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation.S.P. Botkin City Clinical Hospital of Department of Healthcare of Moscow.S.P. Botkin City Clinical Hospital of Department of Healthcare of Moscow.S.P. Botkin City Clinical Hospital of Department of Healthcare of Moscow; Institute for Advanced Training of the Federal Medical and Biological Agency.Radiation diagnosis in evaluating chronic obstructive pulmonary disease (COPD) is used to distinguish clinically similar diseases and to identify concomitant pathological changes. Highresolution computed tomography (HRCT) is employed for detailed analysis of the status of the lung. HRCT can visualize primarily centrilobular, panlobular, paraseptal, and bullous emphysema and bronchiectases, is of great importance in the anatomical characteristics of the disease and in the identification of the phenotype of COPD.The paper describes a clinical case of COPD with bullous emphysema in a 60-year-old man. The CT pattern presents with lower-density bilateral multiple centrilobular avascular areas without clear boundaries, as well as by paraseptal emphysema areas, also localized mainly in the lower segments of both lungs, with thin-walled air cavities occupying up to one third of the hemithorax on both sides. CT made it possible to visualize upperlobular centrolobular emphysema, pulmonary bullae, to estimate their sizes, and to identify compression atelectasis in the adjacent lung areas. The differential diagnosis included bronchiectasis disease, histiocytosis X, and lung carcinoma.This clinical case demonstrates that HRCT is the method of choice for differential diagnosis, a follow-up, and assessment of the results of treatment for COPD with a preponderance of bullous emphysema, including in the presence of a doubtful radiographic pattern.https://www.russianradiology.ru/jour/article/view/364chronic obstructive pulmonary diseasebullous emphysemahigh-resolution computed tomographyclinical case |
| spellingShingle | Zh. V. Sheykh E. V. Nikolaev I. E. Tyurin K. G. Zhestkov V. G. Alekseev V. V. Poddubnyy A. V. Arablinskiy Ya. R. Gazaryan S. V. Klimko K. V. Myshkin O. O. Kurzantseva CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH EMPHYSEMA AND GIANT BULLAE IN A SMOKER Вестник рентгенологии и радиологии chronic obstructive pulmonary disease bullous emphysema high-resolution computed tomography clinical case |
| title | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH EMPHYSEMA AND GIANT BULLAE IN A SMOKER |
| title_full | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH EMPHYSEMA AND GIANT BULLAE IN A SMOKER |
| title_fullStr | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH EMPHYSEMA AND GIANT BULLAE IN A SMOKER |
| title_full_unstemmed | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH EMPHYSEMA AND GIANT BULLAE IN A SMOKER |
| title_short | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH EMPHYSEMA AND GIANT BULLAE IN A SMOKER |
| title_sort | chronic obstructive pulmonary disease with emphysema and giant bullae in a smoker |
| topic | chronic obstructive pulmonary disease bullous emphysema high-resolution computed tomography clinical case |
| url | https://www.russianradiology.ru/jour/article/view/364 |
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