PMC7658491_01
Chest radiograph upon initial presentation to emergency department shows giant bullae in bilateral lungs occupying more than two third of the lungs leaving small area of normal parenchymal inferiorly.
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On the initial chest radiograph, there was an absence of lung markings of both middle and upper zones (Fig. 1).
CT Thorax in axial view shows the tip of the right chest tube (arrow) is at the anterior wall of the right giant bullae. It is located in between the parietal and visceral wall of the pleura without puncturing the bullae.
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The chest tubes were abutting the pleura's parietal wall without puncturing the bulla (Fig. 2).
Showing both the right(above) and left bullae (below) that were removed during VATS.
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We referred this case to the cardiothoracic team, and the patient subsequently underwent bilateral video-assisted thoracoscopic surgery (VATS) and bullectomy with bilateral pleurodesis (Fig. 3).