In 1996 Goodman and Lakshminaraya (1) presented a series of chest radiographs, which documented the complete obliteration of a large bulla in the setting of a parapneumonic effusion. These films were taken of a 43-year-old man with bullous emphysema who presented to the hospital with a right-lower-lobe pneumonia. After three days of antibiotics, an air-fluid level developed within a large bulla adjacent to the pneumonia. Following a 6-week course of antibiotics, radiography demonstrated resolution of the pneumonia, but persistence of the air-fluid level. With time the air-fluid level resolved, the bulla diminished in size and eventually only a small, pleural-based scar remained. The authors proposed that inflammation within the bulla led to obstruction of the bronchus supplying the bulla and that subsequent resorption of the air within the now isolated bulla led to its eventual collapse. They named this process “inflammatory auto-bullectomy.”