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Spontaneous Pneumothorax with Giant Bullous Emphysema

Imaging findings

A patient with known "vanishing lung syndrome" (giant bullae) developed a discrete pneumothorax, clearly visible as a white line separate from the bulla walls.

Key takeaways

Radiographic differentiation between a giant bulla and a pneumothorax is critical; the presence of a distinct pleural line confirms a pneumothorax.

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