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Diagram of alveoli with emphysema. Emphysema is a respiratory disease of the lower respiratory tract. [7] It is commonly caused by tobacco smoking but some people are affected who have never smoked. [14] The presence of emphysema is a clear risk factor for lung cancer, made stronger in those who smoke. [20] Early symptoms of emphysema vary.
Large, prominent subpleural bullae. Spontaneous pneumothorax often results from rupture of such lesions. Honeycomb fibrosis is present in the subpleural lung parenchyma. In emphysema the spaces resulting from alveolar wall destruction have thin, delicate walls without intervening fibrosis and resemble the appearance of a spider web.
An axial CT image showing bullous emphysema of the lungs. There are larger air pockets on the right than left. Bullous emphysema is a condition seen in patients with chronic obstructive pulmonary disease (COPD). The units making up the substructure of the lung (alveoli) become permanently enlarged due to the destruction of their walls.
Spontaneous subcutaneous emphysema is thought to result from increased pressures in the lung that cause alveoli to rupture. [5] In spontaneous subcutaneous emphysema, air travels from the ruptured alveoli into the interstitium and along the blood vessels of the lung, into the mediastinum and from there into the tissues of the neck or head. [5]
Low magnification micrograph of pneumatosis intestinalis in bowel wall.. Pneumoperitoneum (or peritoneal emphysema), air or gas in the abdominal cavity.The most common cause is a perforated abdominal viscus, generally a perforated peptic ulcer, although any part of the bowel may perforate from a benign ulcer, tumor or abdominal trauma.
A focal lung pneumatosis is an enclosed pocket of air or gas in the lung and includes blebs, bullae, pulmonary cysts, and lung cavities. Blebs and bullae can be classified by their wall thickness. [1] A bleb has a wall thickness of less than 1 mm. [2] By radiology definition, it is up to 1 cm in total size. [3]
The ethmoid bulla (or ethmoidal bulla) is a rounded elevation upon the lateral wall of the middle nasal meatus [1] [2]: 377 (nasal cavity inferior to the middle nasal concha) produced by one or more of the underlying middle ethmoidal air cells (which open into the nasal cavity upon or superior to the ethmoidal bulla [2]: 374 [3]).
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