Presentation
Sudden onset chest pain.
Patient Data
Age: 80 years
Gender: Male
From the case:
Spontaneous pneumothorax secondary to COPD
Frontal

Large left pneumothorax with no midline shift to suggest tension. Lungs are hyperinflated in keeping with COPD.
From the case:
Spontaneous pneumothorax secondary to COPD
Axial lung window

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