Hyperinflation in xray
Reading File
Quick answer
Hyperinflation on a chest X-ray means the lungs contain more air than normal, usually because air is trapped during exhalation. It is commonly seen in COPD, especially emphysema, and sometimes in acute asthma.
Typical X-ray features:
- Low, flattened diaphragms
- Increased lung volume: often more than 6 anterior ribs or 10 posterior ribs visible above the diaphragm on a good inspiratory film
- Hyperlucent lungs: lungs look darker because of increased air
- Widened intercostal spaces and more horizontal ribs
- Long, narrow, vertically oriented heart ("small tubular heart")
- Increased retrosternal clear space on lateral X-ray
- In emphysema: reduced peripheral vascular markings and possible bullae
A chest X-ray can suggest hyperinflation, but spirometry is used to confirm airflow obstruction such as COPD.
This is a shared conversation. Sign in to Orris to start your own chat.