EURORAD ESR

Case 16102

Giant bullous emphysema

Author(s)
Almeida J, Leal C, Figueiredo L

Rua Maria Veleda 3-3D 1500-441 Lisbon, Portugal; Email: joao.manuel.almeida@hotmail.com
 
Patient
female, 40 year(s)
 
 
  • Figure 1
    Chest X-ray
     

    Diffuse hyperlucency in the right hemithorax, mostly without lung markings.

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Acute;

    Lateral view

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Computed Tomography
     

    Giant pulmonary bullae in the right upper lobe, extending from the apex to the base of the right lung, with massive compression of the remaining lung parenchyma, being almost totally collapsed. (Coronal view)

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial view

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial view

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial view

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial view

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Acute;

    Axial view

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    Significant improvement after elective Bullectomy
     

    Chest x-ray after bullectomy (PA view)

     
    Area of Interest: Lung; Imaging Technique: Conventional radiography; Procedure: Surgery; Special Focus: Occupational / Environmental hazards;

    Computer tomography after bullectomy (coronal view)

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Surgery; Special Focus: Occupational / Environmental hazards;
     
     
  • Figure 4
    Overview - Before and after bullectomy

    Chest x-ray and Computer Tomography showing significant improvement after right bullectomy

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Surgery; Special Focus: Occupational / Environmental hazards;
     
     
Diffuse hyperlucency in the right hemithorax, mostly without lung markings.
 
Lateral view
 
Giant pulmonary bullae in the right upper lobe, extending from the apex to the base of the right lung, with massive compression of the remaining lung parenchyma, being almost totally collapsed. (Coronal view)
 
Axial view
 
Axial view
 
Axial view
 
Axial view
 
Axial view
 
Chest x-ray after bullectomy (PA view)
 
Computer tomography after bullectomy (coronal view)
 
Chest x-ray and Computer Tomography showing significant improvement after right bullectomy
 
 
 
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