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Chest Imaging and Pathology for Clinicians |

Chronic Cough and Bilateral Pneumothoraces in a Nonsmoker

Sarah L. O’Beirne, MD, PhD; Joanna G. Escalon, MD; Jordan E. Arkin, MD; Brendon M. Stiles, MD; Robert J. Kaner, MD; Alan C. Legasto, MD; Navneet Narula, MD; Thomas C. King, MD
Author and Funding Information

CORRESPONDENCE TO: Sarah L. O’Beirne, MD, PhD, Division of Pulmonary and Critical Care Medicine, 525 East 68th St, New York, NY 10065


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(2):e49-e55. doi:10.1016/j.chest.2015.10.070
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An 82-year-old Japanese nonsmoking man presented with persistent dry cough and small left apical pneumothorax. High resolution CT scan of the chest demonstrated bilateral upper lobe pleuroparenchymal thickening and architectural distortion. Serial imaging revealed mild progression and development of small bilateral pneumothoraces, and pneumomediastinum. A surgical lung biopsy was required to confirm the diagnosis.

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