Look before you leap: a curious case of giant pulmonary bulla

A 56-year-old white woman with a history of chronic obstructive pulmonary disease, hypertension, deep vein thrombosis and chronic alcohol abuse was brought to the emergency room after having two episodes of seizures at home. She was confused and could not give any history. Vital signs were stable and limited neurological exam was unremarkable except for confusion. CT scan of the head was negative for any acute intracranial abnormality and she was admitted for presumed alcohol withdrawal. Soon after admission, she developed shortness of breath, …