EURORAD ESR

Case 14560

Air-fluid levels within an emphysematous giant bullae

Author(s)
La Pietra P, Molinari M, Sommario M, Cavicchi M, Giombi A

Ospedale Bentivoglio,
Asl Bologna,
Dipartimento servizi;
Via Marconi
40121 Bentivoglio, Italy;
Email:plapietra@tin.it
 
Patient
male, 58 year(s)
 
 
  • Figure 1
    X-ray
     

    Chest X-ray at admission (posterior-anterior view) shows a large emphysematous bulla in the left upper lobe with 2 well-defined air-fluid levels.

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Chest X-ray at admission (lateral view) shows a large emphysematous bulla in the left upper lobe with 2 well-defined air-fluid levels.

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Cavitation;

    Posterior-anterior view of a previous chest X-ray obtained 8 months before demonstrates a giant emphysematous bulla in the left upper lobe but no air-fluid levels.

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: History; Special Focus: Cavitation;

    Lateral view of a previous chest X-ray obtained 8 months before showed a giant emphysematous bulla in the left upper lobe but no air-fluid levels.

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: History; Special Focus: Cavitation;
     
     
  • Figure 2
    CT
     

    Unenhanced CT (axial view) shows large emphysematous bubbles in the left lung with some fluid inside them.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cavitation;

    Unenhanced CT (sagittal view) shows large emphysematous bubbles in the left lung with some fluid inside them.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cavitation;

    Previous unenhanced CT (axial view) shows large emphysematous bubbles in the left lung without fluid inside them.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Comparative studies; Special Focus: Cavitation;

    Previous unenhanced CT (sagittal view) shows large emphysematous bubbles in the left lung without fluid inside them.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Comparative studies; Special Focus: Cavitation;

    Follow-up unenhanced CT performed after four weeks (axial view) shows considerable reduction of amount of fluid inside the bulla.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cavitation;
     
     
Chest X-ray at admission (posterior-anterior view) shows a large emphysematous bulla in the left upper lobe with 2 well-defined air-fluid levels.
 
Chest X-ray at admission (lateral view) shows a large emphysematous bulla in the left upper lobe with 2 well-defined air-fluid levels.
 
Posterior-anterior view of a previous chest X-ray obtained 8 months before demonstrates a giant emphysematous bulla in the left upper lobe but no air-fluid levels.
 
Lateral view of a previous chest X-ray obtained 8 months before showed a giant emphysematous bulla in the left upper lobe but no air-fluid levels.
 
Unenhanced CT (axial view) shows large emphysematous bubbles in the left lung with some fluid inside them.
 
Unenhanced CT (sagittal view) shows large emphysematous bubbles in the left lung with some fluid inside them.
 
Previous unenhanced CT (axial view) shows large emphysematous bubbles in the left lung without fluid inside them.
 
Previous unenhanced CT (sagittal view) shows large emphysematous bubbles in the left lung without fluid inside them.
 
Follow-up unenhanced CT performed after four weeks (axial view) shows considerable reduction of amount of fluid inside the bulla.
 
 
 
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