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BOF: 15

A 54-year-old male with known chronic obstructive pulmonary disease is breathless on minimal exertion and is almost incapacitated by this. Chest X-ray has demonstrated the presence of large emphysematous bullae.
In this patient you would arrange a CT scan of his chest for the following reason.

a) To exclude a co-existent lung cancer

b) To exclude co-existent heart failure

c) To document the presence of bronchiectasis

d) To determine the distribution of the emphysema

e) To detect co-existent pulmonary emboli

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