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
C. Lung Collapse
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.