Figure 3 - uploaded by Nawaid Ahmad
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CT image demonstrating a bulla (marked by arrow).

CT image demonstrating a bulla (marked by arrow).

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An 85-year-old ex-smoker being managed conservatively over 2 years for a small right apical pneumothorax presented to the respiratory clinic with suddenly worsening shortness of breath and chest pain. A chest radiograph demonstrated sudden deterioration in the size of his pneumothorax. Previous CT scans had found emphysematous cystic changes within...

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Context 1
... was unremarkable except for reduced breath sounds at the right apex. CT imaging 3 months later demonstrated the persistent pneumothorax (figure 2) and found emphysematous cystic changes within the lungs ( figure 3). Serial radiographs demonstrated minor fluctuations in size of the right apical pneumothorax over the following 2 years (figure 1B). ...

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