PTx

This is just a quick show-and-tell (though feel free to comment).
This is a 73 y/o heavy smoker transferred from an outside hospital with a PTx. He had a CT placed there but had a large persistent leak and was transferred for further evaluation. His outside CT showed lower lobe predominant bullous emphysema with a large RLL bulla. (unfortunately those were outside films and I couldn't post them).
He was started on aggressive bronchodilator therapy and stabilized. His spiro revealed a severe obstructive ventilatory defect. He underwent a bullectomy and the CT surgeon got these great pictures:

He is doing very well. His BPF has closed with the lobectomy and his dyspnea is much improved.