Idiopathic giant bullous emphysema

Case contributed by Mostafa El-Feky


Smoker patient presented with dyspnea.

Patient Data

Age: 55 years
Gender: Male



Diffuse centrilobular emphysema, with development of large bullae at both upper lobes.

Large bulla is noted at the right lung posteriorly, measuring 9.8 x 13.8 x 20 cm in dimensions.

Case Discussion

CT features of bullous lung disease, with giant emphysematous bullae affecting the upper lobes, the largest on the right side occupying more than one-third of right hemithorax. It carries high risk for pneumothorax and lung cancer.

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