Unilateral hyperlucent lung due to bullous disease.

n 18-year-old white woman was admitted complaining ofright-sided chest pain offive days duration. The pain was sharp and acute in onset, pleuritic in nature, and felt diffusely throughout the right chest. She had low grade fever and generalized weakness. The patient denied shortness of breath, cough or bloody sputum. There was no history of asthma or pneumonia, and she was a nonsmoker. Her past medical history was unremarkable, but her father underwent a right pneumonectomy at age 16 for an undefined congenital problem. Physical examination showed her vital signs to be stable. There was tracheal deviation to the left side. Her right chest was hyperresonant and her breath