Spontaneous pneumothorax in a patient with buffalo chest

Abstract

A 42-year old male presented with chest pain. Left pneumonectomy had been performed 15 years before for tuberculosis. A chest X-ray showed small left-sided pneumothorax (Fig. 1). A chest computed tomography revealed herniation of the right lung into the contralateral side (‘buffalo chest’) and a bilateral pneumothorax (Fig. 2). With oxygen supplement, chest pain was relieved and the pneumothorax disappeared.