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Ex-vacuo Pneumothorax following Endobronchial Valve Placement

Imaging findings

Rapid collapse of the right upper lobe following placement of endobronchial valves for severe emphysema, leading to an ex-vacuo pneumothorax confined to the space vacated by the collapsed lobe.

Key takeaways

Ex-vacuo pneumothorax occurs due to rapid volume loss of a lobe causing increased negative pressure in the pleural space, rather than a pleural breach. It is distinct from pneumothorax caused by chronic pleural disease.

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