BMJ Case Reports 2013; doi:10.1136/bcr-2013-008668

Massive compensatory hyperinflation

  1. Navneet Singh
  1. Department of Pulmonary Medicine, PGIMER, Chandigarh, India
  1. Correspondence to Dr Navneet Singh, navneetchd{at}


A 14-year-old girl presented with a 1-year history of insidious onset dyspnoea. Three years previously, she had been treated for 6 months with directly observed antituberculous treatment for sputum smear positive pulmonary tuberculosis (TB) and the treatment was successful.

Chest radiograph demonstrated gross mediastinal shift to the right side with hyperinflated left hemithorax (figure 1). A CT scan demonstrated massive hyperinflation and anterior herniation of left lung across the midline to the right side with complete …

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