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Giant bulla or pneumothorax
  1. Chia-Hao Chang1,
  2. Huan-Jang Ko2
  1. 1 Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan
  2. 2 Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan
  1. Correspondence to Huan-Jang Ko, No. 25, Lane 442, Sec.1, Jingguo Rd., Hsinchu, Taiwan; kaba{at}

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A 52-year-old female non-smoker presented to emergency department with progressive dyspnoea in recent days. A chest radiograph showed marked right-sided hyperlucency. Several linear structures over right lung along with trachea and mediastinum were deviated to the left side (figure 1). The diagnosis of tension pneumothorax was made, and an 8 French pigtail was inserted. However, the collapsed lung did not expand. A chest CT showed one giant bulla leading to right lung collapse without pneumothorax (figure …

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  • Contributors All authors were involved in literature review, drafting of manuscript and critically reviewing it for intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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