Apical bullous disease in a heavy smoker

Case contributed by Prof Oliver Hennessy

Presentation

Long history of marijuana use

Patient Data

Age: 36
Gender: Male
Modality: X-ray

Tracheostomy in situ. Opacities in the right mid and lower zones likely represent scarring post infection. No focal consolidative changes. No pleural effusion. Right apical bullae noted.

No pneumothorax or subdiaphragmatic free gas. Cardiomediastinal contour is normal.

The diffuse emphysematous changes in both lungs are very suspicious for changes of marijuana inhalation.

Modality: CT

There are extensive bullous changes in both upper lobes. Infective changes are noted in the right lower lobe.

Case Discussion

The possibility of marijuana inhalation needs to be considered when large bullae are present in the upper zones in a young male patient. 

PlayAdd to Share

Case Information

rID: 33067
Case created: 29th Dec 2014
Last edited: 30th Oct 2015
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.