Apical bullous disease in a heavy smoker

Case contributed by Prof Oliver Hennessy


Long history of marijuana use

Patient Data

Age: 36
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. 

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Case information

rID: 33067
Published: 30th Dec 2014
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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