Spontaneous pneumothorax

Case contributed by Ayaz Hidayatov
Diagnosis certain

Presentation

Acute dyspnea and breathlessness

Patient Data

Age: 20 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

x-ray

The frontal radiograph reveals left-sided pneumothorax, the left lung is almost completely collapsed and vascular markings not seen in the left hemithorax.

x-ray

After chest tube placement the left lung is re-expanded.

ct

CT demonstrates subpleural bulla at the apico-posterior segment of the left lung

Case Discussion

Spontaneous pneumothorax occurs usually in tall and thin young smoker men, and in most cases due to spontaneous rupture of subpleural apical blebs or bullae in absence of history of trauma.

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