Imaging Diagnosis of Interstitial Pneumonia with Emphysema (Combined Pulmonary Fibrosis and Emphysema)
Figure 6
Emphysema with fibrosis, pulmonary hypertension. Estimated right ventricular pressure by cardiac ultrasound is 80 mmHg. (a) Chest X-ray shows cardiomegaly with enlargement of central pulmonary arteries. (b) Contrast-enhanced CT shows dilatation of central pulmonary arteries. There is no evidence of pulmonary thromboembolism. (c) High-resolution computed tomography (HRCT) of upper lung shows severe pulmonary emphysema; some cystic lesions have thick wall. (d) HRCT of the lower lung shows marked destructive change in the lung. There are several large cysts with thick wall.
