A 80-year-old healthy male presented to the ED with complain | Figure 1

Case Summary

A 80-year-old healthy male presented to the ED with complaints of cough, high-grade fever, and shortness of breath since 5 days. His O2 saturation is 90% on room et 95% on 8 litres of oxygen via non-rebreather mask. He was tested for COVID-19 and admitted.

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pyopneumothoraxis drained in j 8

Focused chest CT of the left lung apex shows the large apical bleb (arrow) and a small pneumothorax. Blebs are the most common cause of spontaneous pneumothorax in children. Pulmonary blebs occur exclusively in the lung apices. While they don’t always cause pneumothorax, they are a risk factor for the development of a pneumothorax. When present, apical blebs are bilateral in more than three-quarters of patients. Patients with recurrent pneumothorax may be treated with bleb resection.

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