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

Chest X ray can be used as an imaging modality to evaluate the pulmonary impact of COPD. Common findings include visual deformities in the lung sacs.

Chest X Ray

Images shown below are courtesy of RadsWiki

Emphysema

  • Signs of hyperinflation like flattening of diaphragm.
  • Increased retrosternal space
  • Hypovascularity
  • Long, narrow heart shadow

Chronic bronchitis

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


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