Chronic obstructive airways disease - increased lung volume

Case contributed by Guillermo César Vélez Parra , 5 Dec 2023
Diagnosis almost certain
Changed by Liz Silverstone, 25 Jan 2024
Disclosures - updated 6 Dec 2023: Nothing to disclose

Updates to Case Attributes

Age changed from 75 to 75 years.
Body was changed:

This is a typical caseappearance of increased lung volume, suggesting air-trapping with increase inincreased retro sternal-sternal space (more than 2,5 cm), diaphragm flattening (less than 1.5 cm perpendicular distance to the inter recess line) and increased number of exposed intercostal spaces. The ultimate diagnosis is aof COPD relies on clinical oneassessment and detection of fixed airway obstruction by spirometry.

This case was published with Valentina Díaz MD.

  • -<p>This is a typical case of increased lung volume, suggesting air-trapping with increase in retro sternal space (more than 2,5 cm), diaphragm flattening (less than 1.5 cm perpendicular distance to the inter recess line) and increased number of exposed intercostal spaces. The ultimate diagnosis is a clinical one.</p><p>This case was published with Valentina Díaz MD.</p>
  • +<p>This is a typical appearance of increased lung volume with increased retro-sternal space (more than 2,5 cm), diaphragm flattening (less than 1.5 cm perpendicular distance to the inter recess line) and increased number of exposed intercostal spaces. The diagnosis of COPD relies on clinical assessment and detection of fixed airway obstruction by spirometry.</p><p>This case was published with Valentina Díaz MD.</p>

Updates to Study Attributes

Findings was changed:

In the frontal projection there is an increased pulmonary volume, evidenced by lung hyper expansion, more than 9 posterior costal posterior spaces and flattened diaphragms (see third image), this distance should be more than 1,5 cm.

In the lateral projection there is an increased retrosternal space diameter, normally les than 2,5 cms.

Interstitial opacities in both lungs.

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