Respiratory Failure & Mechanical Ventilation

Was the chest tube draining anything?

Most patients with bullae have a significant cigarette smoking history, although cocaine smoking, pulmonary sarcoidosis, alpha1-antitrypsin deficiency, 1-antichymotrypsin deficiency, Marfan's syndrome, Ehlers-Danlos syndrome and inhaled fiberglass exposure have all been implicated.

Types of surgery for bullous emphysema include: Bullectomy. Your surgeon removes the bullae from your lungs using open surgery (thoracotomy) or a minimally invasive procedure (video-assisted thoracic surgery). Bronchoscopic lung volume reduction (BLVR).

Occasionally, giant bulla may be mistaken for a pneumothorax by a chest radiograph. In general, the pleural line associated with a large bulla is usually concave to the lateral chest wall, whereas the pleural line associated with a pneumothorax is convex.

Bullae occur in various clinical contexts: (1) with emphysema (“bullous emphysema”); (2) with pulmonary fibrosis, as in the late stages of sarcoidosis or complicated pneumoconiosis; (3) in so-called “vanishing lung,” in which the parenchyma is rapidly replaced by multiple bullae as in above case and (4) in lungs that are otherwise ...

In pulmonary TB , bullae are rare.

In SAR-CoV-2 , lungs bullae are reported in the literature and should be investigated for it if 5 says ago CxR was reported normal.

Yes, it is loculated pneumothorax on right, even seen in the second CxR in the right basal region . I believe that treatment is decortication .