65 yo M with progressive shortness of breath

Case and content by Lauren Brown, MD
Expert radiology by David Godwin, MD
Edited by Brandon Fainstad, MD


OBJECTIVE

CASE

65 yo man with prior diagnosis of COPD presents to clinic with progressive dyspnea over the past few months. He has a heavy smoking history with obstructive pulmonary function tests, but he has experienced progression in his symptoms despite significantly reducing his tobacco use.


CXR

What alternative causes of his progressive dyspnea are you considering based on the distribution of lung disease?


DIAGNOSIS AND OUTCOME


TAKE HOME POINTS


REFERENCES

Schmidt, Rodney A., et al. “Panlobular Emphysema in Young Intravenous Ritalin Abusers.”American Review of Respiratory Disease, vol. 143, no. 3, 1991, pp. 649–656., doi:10.1164/ajrccm/143.3.649.