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Postgraduate Education Corner: CHEST IMAGING AND PATHOLOGY FOR CLINICIANS |

A 47-Year-Old Woman With Progressive Dyspnea and Recurrent Pneumothoraces

Seth Brant, MD; Mark S. Parker, MD; Lisa K. Brath, MD, FCCP; Margaret M. Grimes, MD, FCCP
Author and Funding Information

*From the Divisions of Pulmonary and Critical Care (Drs. Brant and Brath), Thoracic Imaging (Dr. Parker), and Pathology (Dr. Grimes), Virginia Commonwealth University Health System, Richmond, VA.

Correspondence to: Seth Brant, MD, Pulmonary-Critical Care Fellow, VCU Health System, 1200 East Broad St, 10/f West Hospital, Richmond, VA 23298; e-mail: sbrant@mcvh-vcu.edu


Dr. Parker receives royalties as a coauthor of the textbook Teaching Atlas of Chest Imaging and functions as a paid consultant of Design Consultant Worldwide Innovations and Technologies, Inc. Drs. Brant, Brath, and Grimes have reported to the ACCP that no significant conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;135(5):1389-1394. doi:10.1378/chest.08-1168
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Extract

A 47-year-old woman was referred for evaluation of dyspnea and recurrent bilateral pneumothoraces, with the last episode requiring left apical resection and talc pleurodesis. The pathology from this procedure revealed only a scarred bleb lining. Dyspnea was described as insidious and gradually progressive since onset 5 years earlier. The medical history was notable for emphysema. The findings of a review of systems was otherwise negative, as was the family history. A social history revealed a 10 pack-year history of smoking with current use being described as sporadic. The physical examination findings were unremarkable with the exceptions of pulse oximetry values of 82% while breathing room air and a well-healed thoracotomy scar.

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