Spontaneous pneumothorax due to ruptured apical bullae

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Sudden severe breathlessness and right-sided pleuritic chest pain.

Patient Data

Age: 55 years
Gender: Male

Loculated pneumothorax due to pleural adhesions.  Apical lung bullae or blebs that predispose to spontaneous pneiumothorax.  These blebs are not on the background of bullous emphysema.

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