Vanishing lung syndrome in a patient with HIV infection and recurrent pneumothorax

Image in medicine Vanishing lung syndrome (VLS) is a rare chronic, progressive clinical entity seen in smokers characterized by giant emphysematous bullae mainly in the upper lobes. Figure 1 (A) PA and lateral views of the chest X-ray showing severe emphysematous changes; (B) axial and coronal views of the chest CT showing extensive bilateral bullous lung disease with collapse of surrounding parenchyma 1 Department of Surgery, Harlem Hospital Columbia University Medical Center, New York, NY, USA