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giant bullous emphysema; Vanishing lung syndrome

Epidemiology: - most commonly occurs in young men with short history of smoking Pathology: - upper-lobe predominant emphysema - air spaces in the lung with < 1 mm wall occupying > 1/3 of hemithorax Radiology: - chest X-ray & chest CT - paraseptal, asymmetric, upper-lobe prodominant giant bullae Differential diagnosis: - alpha-1 antitrypsin deficiency - lower lobe bullous emphysema - intravenous or inhaled drug abuse - congenital lung disorders - congenital cystic adenomatoid malformation - lower lobe bullous emphysema

General

bullous lung disease pulmonary emphysema

References

  1. Davies P, Bradley C. Vanishing lung syndrome: giant bullous emphysema. Lancet. 2017 Dec 9;390(10112):2583. PMID: 28965716
  2. Sharma N, Justaniah AM, Kanne JP, Gurney JW, Mohammed TL. PMID: 19704328 J Thorac Imaging. 2009 Aug;24(3):227-30. PMID: 19704328 Review.