Spontaneous pneumothorax secondary to COPD

Case contributed by Dr Henry Knipe

Presentation

Sudden onset chest pain.

Patient Data

Age: 80 years
Gender: Male
Modality: X-ray
Large left pneumothorax with no midline shift to suggest tension. Lungs are hyperinflated in keeping with COPD.
Modality: CT

Large left pneumothorax on a background of emphysematous changes and subpleural bullae at the apices. Left lower lobe nodule. 

Case Discussion

Pneumothoraces can be spontaneous or traumatic/iatrogenic. When spontaneous they can be primary or secondary to underlying lung disease. This is an example of a secondary spontaneous pneumothorax due to emphysema.
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Case Information

rID: 49811
Case created: 4th Dec 2016
Last edited: 5th Dec 2016
System: Chest
Inclusion in quiz mode: Included

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