What is the most likely diagnosis?
- 41 year-old male with shortness of breath
Frontal Chest Radiograph
- Large pneumothorax
- Pulmonary embolism
- Poland Syndrome
- Vanishing Lung Syndrome
- Unilateral pulmonary edema
Additional Images - CT scan of chest
Additional Images
CT scan of chest
Answer:
.
4. Vanishing Lung Syndrome
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Vanishing Lung Syndrome
General Considerations
- Uncommon disorder
- Characterized by very large bullae
- Bullae are air-filled, thin-walled (<1mm) spaces in the lung resulting from destruction of alveolar tissue
- In vanishing lung syndrome the bulla takes up more than a third of the occupied lung
- Paraseptal emphysema and subpleural bullae are seen in virtually all patients
- Most also have separate centrilobular emphysema
- Most common in young men, mostly in smokers
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