Polverino F, et al. - Researchers tried to find out whether lung MRI as a potential complementary diagnostic tool for early chronic obstructive pulmonary disease (COPD). The application of lung magnetic resonance imaging with hyperpolarized gas was reported in the diagnostic workup for bronchopulmonary dysplasia with underlying chronic airflow limitation in the presence of spirometry criteria that meet the diagnosis of early-onset COPD. Where more young adults will be spirometrically diagnosed with COPD in the post surfactant era, individuals should be categorized not only on the basis of their airflow limitation but also on lung abnormalities identified with safe, comprehensive imaging technologies that allow regular, longitudinal follow-up.