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Discrete Emphysema

Imaging findings

Presence of cystic-like lesions in a 46-year-old never-smoker from India. Lesions display internal architecture, webs, and vessels rather than being simple cysts. Biopsy confirmed emphysematous changes despite the atypical appearance.

Key takeaways

Termed "discrete emphysema," this condition may be a result of particulate air pollution or underlying tissue abnormalities (collagen/elastin issues). Some "walls" of these lesions are actually collapsed alveolar tissue forming pseudo-cysts.

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