Case: Chest radiograph #65644237
Chest Beginner
Read this radiograph systematically before revealing the answer. What is the main abnormality?

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Answer: Emphysema / COPD (hyperinflation)
What to look for in emphysema / copd (hyperinflation)
- More than 7 anterior ribs visible.
- Flat hemidiaphragms.
- Long, thin heart.
- Bullae.
Description by the image author (may be in another language): Chest X-ray of an 81 year old man with chronic obstructive pulmonary disease (COPD), presenting with acute COPD exacerbation , mainly productive cough. It shows an opacity in the inferior parts of the right upper lobe . A nasopharyngeal swab detected Haemophilus influenzae .
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.





