Today's mini been is here! Emphysema - Clinical Presentation, Diagnosis, and Management Emphysema is abnormal, permanent-dilatation of the acini or respiratory lobule with the destruction of the fibrous septa, without apparent scarring or fibrosis. In this video, Dr. Mobeen Syed discusses the clinical manifestation of emphysema. The patients of pan-lobular emphysema (pure-emphysema), may have hunched-over back with dyspnea. The patients would have long expirations and a loss of weight. They do n