Giant pulmonary bulla

Case contributed by Assoc Prof Craig Hacking

Presentation

Cough.

Patient Data

Age: 50 years
Gender: Male
X-ray

Massive focal lucency in the right lung with an absence of lung markings and some mild mass effect on adjacent lung parenchyma. The minor fissure is displaced superiorly and there is increased right hemithoracic volume. The left lung demonstrates increased perihilar markings. No evidence of pneumothorax.

Case Discussion

This patient was a long term smoker and a subsequent CT (not available) confirmed asymmetric bullous emphysema. Initially, this CXR was misdiagnosed as a pneumothorax.

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Case information

rID: 73253
Published: 2nd Jan 2020
Last edited: 3rd Jan 2020
System: Chest
Inclusion in quiz mode: Included

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