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Chronic smoking has been linked to higher rates of anxiety disorders, depression, and stress, creating a vicious cycle where individuals may smoke more to cope with these symptoms, further deepening their mental health struggles

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That commitment will continue to guide our approach to this category in future

However, our case is another example of this possible connection and it is important for both the radiologist and clinician to remember this relationship the next time they encounter a young patient with prominent apical bullous disease and/or a spontaneous pneumothorax