Lindsay Volk,Christine Minerowicz,Siavash Saadat,John E. Langenfeld, Multicystic Alveolar Adenoma in a Symptomatic Adult with Extensive Bullae and Mediastinal Shift Surgical Case Reports 2020 2613-5965 http://dx.doi.org/10.31487/j.SCR.2020.03.03 https://www.sciencerepository.org/multicystic-alveolar-adenoma-in-a-symptomatic-adult-with-extensive-bullae_SCR-2020-3-103 Abstract: We present a unique case of alveolar adenoma with extensive bullous disease in a young female patient that presented as left sided pleuritic chest pain and shortness of breath. The patient had a pneumothorax and mediastinal shift. She underwent upper lobectomy that resulted in relative a resolution of the mediastinal shift. We discuss the unique clinical and pathologic presentation of this rare benign neoplasm in this patient.Keywords: Alveolar adenoma, multicystic lung disease, mediastinal shift