Marijuana related bullous lung disease with pneumothorax

Case contributed by Paul Leong
Diagnosis almost certain

Presentation

Sudden pleuritic chest pain

Patient Data

Age: 30
Gender: Male
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Info

There is a right sided pneumothorax.

There are large underlying bullae within the lung apices, much more severe than would be expected for a patient of this age. 

Download
Info

There is a right sided pneumothorax.

There are large underlying bullae within the lung apices, much more severe than would be expected for a patient of this age. 

Case Discussion

Severe bullous disease has been described in patients who smoke marijuana.

This patient had a history of heavy marijuana use. 

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