Diffuse Persistent Interstitial Pulmonary Emphysema Treated by Lobectomy Reva Matta, MD, Judy Matta, MD, Pierre Hage, MD, Yolla Nassif, MD, Nabil Mansour,

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Diffuse Persistent Interstitial Pulmonary Emphysema Treated by Lobectomy Reva Matta, MD, Judy Matta, MD, Pierre Hage, MD, Yolla Nassif, MD, Nabil Mansour, MD, Nabil Diab, MD MBA The Annals of Thoracic Surgery Volume 92, Issue 4, Pages e73-e75 (October 2011) DOI: 10.1016/j.athoracsur.2011.04.071 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Chest roentgenogram on admission showing multiple air-filled cysts in the left lung with depression of the left hemidiaphragm and mediastinal shift to the right. (B) Macroscopic section of left upper lobe; the specimen weighs 18.7 g and measures 7 × 5 × 2 cm. Cut sections show an emphysematous lung with multiple interconnecting microcystic structures ranging in size from 0.1 cm to 1 cm in diameter. The Annals of Thoracic Surgery 2011 92, e73-e75DOI: (10.1016/j.athoracsur.2011.04.071) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Chest computed tomographic scan (A) on admission showing severely hyperinflated left lung with extensive destructive changes with multiple small bullae, marked herniation to the right with a complete collapse of the right lung. (B) On postoperative day 8, a repeat computed tomographic scan showed marked re-expansion of the right lung and presence of few bullae involving the basal segment of the left lower lobe. The Annals of Thoracic Surgery 2011 92, e73-e75DOI: (10.1016/j.athoracsur.2011.04.071) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions