A: Posteroanterior chest radiograph showing hypertranslucency of the left middle and lower fields with a marked reduction in the peripheral lung markings.

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A: Posteroanterior chest radiograph showing hypertranslucency of the left middle and lower fields with a marked reduction in the peripheral lung markings. A: Posteroanterior chest radiograph showing hypertranslucency of the left middle and lower fields with a marked reduction in the peripheral lung markings. B: High-resolution computed tomography scan showing a large degree of hyperinflation of the left lower lobe and reduced pulmonary vessels with dilated bronchioles and a few areas of mucoceles. Masaru Ando et al. Respir Care 2014;59:e182-e185 (c) 2012 by Daedalus Enterprises, Inc.