Case: Chest radiograph #9500331
Chest Beginner
Read this radiograph systematically before revealing the answer. What is the main abnormality?

Image: James Heilman, MD via Wikimedia Commons · CC BY-SA 3.0 · source · resized and converted to WebP
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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): A lateral CXR of a person with emphysema. Note the barrel chest and flat diaphragm.
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.





