Subpulmonic Pneumothorax in Patients with Chronic Obstructive Pulmonary Disease

Abstract
A spontaneous pneumothorax is occasionally seen under the lung on upright views, apparently due to subpulmonic trapping of pleural air by adhesions. This is most likely to occur in patients with chronic obstructive pulmonary disease (COPD), especially if they have extensive parenchymal scarring from previous tuberculosis. Four patients who had subpulmonic pneumothorax, severe COPD and parencymal scarring and presented in respiratory failure were described. None had other symptoms suggesting pneumothorax. Radiologists shoud be aware of this condition, since it is potentially lethal.

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