Apical bullous disease in a heavy smoker

Case contributed by Oliver Hennessy
Diagnosis probable


Long history of marijuana use

Patient Data

Age: 35 years
Gender: Male



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.

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. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.