Abstract
A 65-year-old man. A giant bulla was discovered on a chest X-ray film at another hospital in 1987, but there were no clinical symptoms. The patient caught a cold, and his breathing became progressively more labored. He was brought to our hospital by ambulance on February 28, 1992. On admission, chest X-rays showed a giant bulla in the left lung with a remarkable shift of the mediastinum to the right side. The giant bulla was excised surgically. Emphysematous changes in the residual lung were mild, and its re-expansion was good. The post -operative levels of FVC, %FVC, FEV1.0 and FEV1.0% were significantly improved and there was no dyspnea.
