A 64-year-old man presented to the emergency room with shortness of breath for 3 days. He has a history of COPD for 8-9 years but no other medical conditions. On examination, he had an elevated heart rate, decreased breath sounds, crackles on lung auscultation, and severe breathlessness. A chest X-ray showed bullae or possible pneumothorax on the right side. Bullae are air-filled spaces within the lung tissue caused by emphysema. Treatment options for bullae include surgical removal or bronchoscopic methods, but there is a risk of bronchopleural fistula. If the chest X-ray is unclear whether bullae or pneumothorax are