J Med Cases

Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access

Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc

Journal website http://www.journalmc.org

Case Report

Volume 4, Number 1, January 2013, pages 19-21

Swyer-James Syndrome: Disappearance of Gigantic Bullae and Pulmonary Function Improvement After Infectious Episode

Figures

Figure 1. A chest radiography and computed tomography showed newly developed pleural effusion with loculated air fluid level inside the pre-existing huge bulla left sided. Shifting of cardiac border to contralateral side is seen.

Figure 2. Follow up radiography and computed tomography revealed disappearance of previously seen gigantic bullae and pleural fluid (13 months after admission). Shifting of cardiac border to contralateral side became normal.

Table

**Table 1.** Comparison of patient’s pulmonary function test
	5 months before admission	3 months after admission	13 months after admission
FEV₁ = forced expiratory volume in 1 second; FVC = forced vital capacity; DLCO = carbon monoxide diffusion in the lung.
FVC ( L)	1.85	3.65	3.74
FVC (%)	49	97	100
FEV₁ (L)	0.61	1.41	1.31
FEV₁ (%)	23	53	50
DLCO (mL/mmHg/min)	9.3	13.1	15.4
DLCO (%)	56	77	94