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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "presence Of Blebs In Right Lung" Indicate?

my 17 year old had a primary spontaneous pneumothorax on left lung in october which we resolved using a chest tube. this week he had a primary spontaneous pneumothorax in the right lung and has a chest tube in that lung. CT scan shows presence of blebs in right lung. what are the chances that these blebs will pop vs heal on their own? what are the chances that a 17 year old will develop more blebs in either lung?
Fri, 27 Feb 2015
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Pulmonologist 's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
In my opinion your son is having bullous lung disease.
In this disease, bilateral multiple bullae and blebs are present. And recurrent pneumothorax is common presenting feature in these patients.
And chances of future pneumothorax are high in such patients.
So it is always advised to get done VATS (Video Assisted Thoracoscopic Surgery). In this technique blebs and bullae are ligated and pleurodesis (adhesion of pleura) is done. So that potential space for pneumothorax can be obliterated thus future risk of pneumothorax can be avoided.
So consult pulmonologist and discuss about these therapeutic options.
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What Does "presence Of Blebs In Right Lung" Indicate?

Thanks for your question on HCM. I can understand your situation and problem. In my opinion your son is having bullous lung disease. In this disease, bilateral multiple bullae and blebs are present. And recurrent pneumothorax is common presenting feature in these patients. And chances of future pneumothorax are high in such patients. So it is always advised to get done VATS (Video Assisted Thoracoscopic Surgery). In this technique blebs and bullae are ligated and pleurodesis (adhesion of pleura) is done. So that potential space for pneumothorax can be obliterated thus future risk of pneumothorax can be avoided. So consult pulmonologist and discuss about these therapeutic options.