80 year old female presents with palpitations. She has been more breathless recently and has been taking her inhalers more frequently.
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
The lung fields are hyperinflated with flattened hemidiagragms consistent with overinflation from airways disease (probable COPD).
*There is a safety pin that appears to be in the stomach, or external artifact*
This lady is having arrhythmias and tachycardia from excessive beta-2 agonist use (short and long acting).
*A history of safety pin ingestion should also be taken…*
Chronic poorly controlled asthma can present as a COPD-like picture, even in never smokers.
The long term airways inflammation leads to airway fibrosis and chronic airways limitation with over-inflation.