Coronal Inspiratory HRCT – TLC

So, here we have the coronal cuts that have been taken on both inspiration and expiration. We notice that this patient does have a dilated esophagus, something to consider in our differential, but here we see a subpleural predominance of architectural distortion and regional reticulation, regional volume loss, and traction bronchiectasis. Again, there are areas with apparent increased blackness, further suggesting that we may have areas of air trapping.