Female, 81 years old.Shortness of breath. Large lung volumes with flattening the diaphragms consistent with COPD/emphysema. Mild bronchial wall thickening. Atelectasis and bronchial wall thickening in the left lower lobe retrocardiac region may be the result of recent aspiration, nonspecific.
Chronic abnormalities consistent with COPD/emphysema with nonspecific bronchial wall thickening which could be the result of chronic bronchitis however asymmetry in the left lower lobe is suspicious for superimposed acute process such as aspiration. If symptoms worsen, follow-up PA and lateral chest radiographs would be suggested.