A 53 year old man is sent into emergency from the respiratory clinic, without notes, acutely short of breath clutching an XR
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There are surgical wires over the left 5th and 6th ribs and surgical clips lateral to the left hilum.
The lung fields project differently – the right is suggestive of gas trapping and oligaemia; the left has normal appearances of the pulmonary vasculature.
This man has had a left single lung transplant for severe emphysema (as seen in his right lung).
Single lung transplants can be performed for emphysema, double lung is definitely indicated for pulmonary fibrosis and any chronic supportive condition such as cystic fibrosis.