Image Based Question-67283

A 40 year old patient who is an occasional and passive smoker,presented with complain of shortness of breath. History of chronic liver disease is present.

Chest X ray showed the following features.What can be the most probable diagnosis?

A. Pleural Effusion

B. Pneumothorax

C. Lung Collapse

D. COPD

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Correct Answer » D Explanation

Ans:D. COPD.

Chest X ray in the image shows:

• Both costophrenic angles are blunt due to lung hyper-expansion

• The hemidiaphragms are flattened indicating hyperexpansion.

Probable diagnosis is

• Chronic obstructive pulmonary disease

• Underlying alpha-1-antitrypsin deficiency might be a cause.