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Adult Sequelae of Bronchopulmonary Dysplasia

Imaging findings

CT chest in a young female with a spontaneous pneumothorax shows asymmetric lung volume and vascular attenuation, with hyperinflation of the upper lobes and apical subpleural blebs, resembling Swyer-James syndrome.

Key takeaways

Adult survivors of neonatal bronchopulmonary dysplasia (BPD) can present with chronic lung disease of prematurity. Imaging findings include asymmetric hyperinflation, vascular pruning, and subpleural blebs, representing chronic airway obstruction/constrictive bronchiolitis that predisposes to pneumothorax.

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