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Most commonly emphysema refers to the permanent enlargement of air spaces in the lungs, [5] [6] and is also known as pulmonary emphysema. Emphysema is a lower respiratory tract disease, [ 7 ] characterised by enlarged air-filled spaces in the lungs , that can vary in size and may be very large.
These cases result in immediate onset (usually) painless swelling of the face and neck; crepitus (crunching sound) typical of subcutaneous emphysema is often present and the subcutaneous air will be visible on X-ray. [24] One of the main causes of subcutaneous emphysema, along with pneumothorax, is an improperly functioning chest tube. [2]
Pulmonary interstitial emphysema (PIE) is a collection of air outside of the normal air space of the pulmonary alveoli, found instead inside the connective tissue of the peribronchovascular sheaths, interlobular septa, and visceral pleura. (This supportive tissue is called the pulmonary interstitium.)
The diagnosis can be confirmed via chest X-ray showing a radiolucent outline around the heart and mediastinum or via CT scanning of the thorax. [ citation needed ] Pneumomediastinum and right sided pneumothorax post first rib fracture in a mountain biking accident.
Orbital emphysema (/ˈɔː(r)bɪt(ə)l ˌemfɪˈsiːmə/, also known as pneumo-orbit [8]) is a medical condition that refers to the trapping of air within the loose subcutaneous around the orbit that is generally characterized by sudden onset swelling and bruising at the impacted eye, with or without deterioration of vision, which the severity depends on the density of air trapped under the ...
On chest x-ray, one lung will be significantly more inflated than the other, causing a mediastinal shift. Bullous emphysema's radiographic appearance on x-ray mimics a tension pneumothorax. This presents a medical challenge as these diseases are treated differently despite appearing similarly on x-ray. [24] [25]
Combined pulmonary fibrosis and emphysema (CPFE), describes a medical syndrome involving both pulmonary fibrosis and emphysema. [ 1 ] [ 2 ] The combination is most commonly found in male smokers. Pulmonary function tests typically show preserved lung volume with very low transfer factor.
Ground-glass opacity (GGO) is a finding seen on chest x-ray (radiograph) or computed tomography (CT) imaging of the lungs. It is typically defined as an area of hazy opacification (x-ray) or increased attenuation (CT) due to air displacement by fluid, airway collapse, fibrosis , or a neoplastic process . [ 1 ]