PMC3465885_01
Chest radiography: a total pneumothorax in the right lung.
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fig1
A posteroanterior (PA) chest X-ray showed bilaterally increased emphysematous ventilation in the lung parenchyma and a total pneumothorax in the right lung (Figure 1).
Thorax CT: bullous areas at the apexes of both lungs and a right pneumothorax.
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On thoracic-computed tomography (CT), bullous areas at the apexes of both lungs and a right pneumothorax were observed (Figure 2). 
Ventilation scintigraphy: refractory air leak in the right upper lobe.
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Ventilation scintigraphy showed findings consistent with the refractory air leak in the right upper lobe (Figure 3).
Chest radiography after treatment.
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No pneumothorax was observed at the 3-month followup (Figure 4).