Very large bulla on background of COPD

Case contributed by Dr Andrew Mark


Active smoker with 200 pack year history. Severe COPD on home O2. Presents with 2 weeks increased SOB, increased sputum production, cough.

Patient Data

Age: 75
Gender: Male

Portable AP study. Hyperinflated lungs with diffuse reticular changes.. Noted large (25cm) right lung bulla. Stable since 2010. No infiltrate noted. No pneumothorax. No effusion noted , though costodiaphragmatic angle not fully visualized. Aortic knob shows calcifications.

Case Discussion

This patient was admitted to the ICU for management of COPD exacerbation. Treated with steroids, antibiotics, and nebulizer treatments. He was subsequently discharged after about a week. His stay was largely uncomplicated despite the impressive chest x-ray on admission.

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Case information

rID: 48598
Published: 15th Jan 2017
Last edited: 24th Oct 2017
System: Chest
Inclusion in quiz mode: Included

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