Sulmetrol or folmetrol spray 2 puff daily + sulbutamol in emergency situation( dyspnea)
There is slight rotation. Image could be better exposed as it is difficult to see the spine behind the cardiac silhouette. There is no obvious rib fracture. Adequate inspiration, noted there is flattening of the diaphragm suggesting of possible emphysema/ chronic lung disease. Under the PA exposure, there is no cardiomegaly as the ctr is less than 0.5.