A: Posteroanterior chest radiograph showing hypertranslucency of the left upper and middle fields with a marked reduction in the peripheral lung markings. A: Posteroanterior chest radiograph showing hypertranslucency of the left upper and middle fields with a marked reduction in the peripheral lung markings. B: High-resolution computed tomography scan showing emphysematous areas in the left upper lobe with a dilated bronchus and subpleural bullae. Masaru Ando et al. Respir Care 2014;59:e182-e185 (c) 2012 by Daedalus Enterprises, Inc.