Chronic obstructive pulmonary disease chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Philip Marcus, M.D., M.P.H. [2]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [3]

Overview

On chest x-ray, the classic signs of COPD are overexpanded lung (hyperinflation), a flattened diaphragm, increased retrosternal airspace, and bullae.^[1] It can be useful to help exclude other lung diseases, such as pneumonia, pulmonary edema or a pneumothorax.^[1]

Patient #1: Paraseptal Emphysema

Patient #2: Paraseptal Emphysema

Increased bronchovascular markings
Cardiomegaly
Right ventricular enlargement, prominent hilar vascular shadows, opacity in retrosternal air spaces (pulmonary hypertension)

↑ ^1.0 ^1.1 Torres M, Moayedi S (May 2007). "Evaluation of the acutely dyspneic elderly patient". Clin. Geriatr. Med. 23 (2): 307–25, vi. doi:10.1016/j.cger.2007.01.007. PMID 17462519.