case_images: PMC4357143_01
case_images: Plain chest radiograph indicates lucent upper lobes in both lungs suggesting emphysema. Evidence of lucent upper lobes in both lungs suggests emphysema. In addition, diffuse pleural thickenings with pleural calcifications present in the right middle and lower thorax. Linear atelectasis or fibrotic scars also present in the left lower lobe. Although the patient stated no history of asbestos exposure, asbestos exposure might have occurred while installing boilers.
case_images: 40557_2015_56_Fig1_HTML.jpg
case_images: PMC4357143_01_40557_2015_56_Fig1_HTML.jpg
case_images: Fig1
case_images: A month later (Figures 1, 2), a pulmonary function test was done that included a post-bronchodilator forced vital capacity (FVC), forced expiratory volume in one second (FEV1) and FEV1/FVC% that were 2.20 L (67% of the predicted value), 1.12 L (52% of the predicted value), and 51%, respectively, which all indicate moderate COPD.
case_images: Computed tomogram image indicating peripheral bullous changes in the right lower lobe.
case_images: 40557_2015_56_Fig2_HTML.jpg
case_images: PMC4357143_01_40557_2015_56_Fig2_HTML.jpg
case_images: Fig2
case_images: A month later (Figures 1, 2), a pulmonary function test was done that included a post-bronchodilator forced vital capacity (FVC), forced expiratory volume in one second (FEV1) and FEV1/FVC% that were 2.20 L (67% of the predicted value), 1.12 L (52% of the predicted value), and 51%, respectively, which all indicate moderate COPD.