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Clinical Rounds

Severe, Early‐Onset Emphysema with Normal α1‐Antitrypsin Levels in Nonsmokers: A Clinical Dilemma

, M.D., , C.C.P. , M.D.F. & , F.C.C.P. , D.O.
Pages 313-319 | Published online: 18 Aug 2004

Figures & data

Figure 1. PA chest radiograph at presentation (left) and then 2 years later (right). Both radiographs demonstrate typical changes associated with emphysema, including hyperinflation, flattening of the diaphragm, and a paucity of pulmonary vascular markings peripherally. Note the rapid development of large bullous disease on the right.

Figure 1. PA chest radiograph at presentation (left) and then 2 years later (right). Both radiographs demonstrate typical changes associated with emphysema, including hyperinflation, flattening of the diaphragm, and a paucity of pulmonary vascular markings peripherally. Note the rapid development of large bullous disease on the right.

Figure 2. CT scan of the thorax, at presentation (left) and 2 years later (right), again demonstrating the rapid development of a large bulla in the right hemithorax with shift of the heart to the left.

Figure 2. CT scan of the thorax, at presentation (left) and 2 years later (right), again demonstrating the rapid development of a large bulla in the right hemithorax with shift of the heart to the left.

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