Faces of Emphysema Panlobular CT centrilobular and Pan Lobular Emphysema Question Alpha-1-Antitrypsin Deficiency88-year-old smoker presents with shortness of breath Scout film shows hyperinflation with relatively lower lobes andAshley Davidoff MD TheCommonVein.net 135538 Sagittal CT Centrilobular and Pan Lobular Emphysema Question Alpha-1-Antitrypsin Deficiency88-year-old smoker presents with shortness of breath Sagittal CT through the right lung (upper image) and left lung (lower image) shows hyperinflation with relatively lucent lower lobes.Ashley Davidoff MD TheCommonVein.net 135541