PMC6142756_01
Lung imaging. (a) Chest X-ray. A total collapse of the left lung was showed. (b, c) Thoracic CT. A bullous pulmonary dysplasia was noted (the bullous lesion is indicated with an arrow).
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fig1
A thoracic CT scan showed bullous pulmonary dysplasia (Figure 1).
Gross findings of the upper lobe at first (a) and second (b) surgical interventions. Emphysematous changes with marked bulla formation were present.
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fig2
Gross findings showed severe emphysematous involvement in the upper lobe with marked bulla formation (Figure 2(a)). A thoracoscopic intervention on the atypical section of the upper right lobe was performed using a stapling device (Figure 2(b)), and new pieces of the TachoSil patch were applied.
Pulmonary specimen evaluation, after first (a) and second (b, c) surgical interventions; all specimens showed distal acinar emphysema.
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fig3
Microscopic examination revealed a characteristic emphysema morphological pattern juxtaposed to normal lung parenchyma (Figure 3(a)). Microscopic findings shown in Figures 3(b) and 3(c) evidenced emphysematous changes.