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Case 18 - Exogenous lipoid pneumonia

Published online by Cambridge University Press:  07 October 2011

Thomas Hartman
Affiliation:
Mayo Clinic, Rochester
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Summary

Imaging description

The typical imaging findings of exogenous lipoid pneumonia consist of bilateral foci of patchy consolidation and ground-glass opacity. The lung bases are most commonly involved. The regions of consolidation are frequently of decreased attenuation and may have attenuation values consistent with fat [1–3] (Figures 18.1 and 18.2). A “crazy-paving” pattern of ground-glass opacity and septal thickening has also been reported in patients with exogenous lipoid pneumonia [1–3] (Figure 18.3).

Importance

The imaging appearance is often diagnostic and should prompt further clinical evaluation for a source of the exogenous lipoid material.

Type
Chapter
Information
Pearls and Pitfalls in Thoracic Imaging
Variants and Other Difficult Diagnoses
, pp. 48 - 49
Publisher: Cambridge University Press
Print publication year: 2011

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References

Betancourt, SLMartinez-Jimenez, SRossi, SELipoid pneumonia: spectrum of clinical and radiologic manifestationsAJR Am J Roentgenol 2010 194 103CrossRefGoogle ScholarPubMed
Baron, SEHaramati, LBRivera, VT.Radiological and clinical findings in acute and chronic exogenous lipoid pneumoniaJ Thorac Imaging 2003 18 217CrossRefGoogle ScholarPubMed
Franquet, TGiménez, ABordes, RRodriguez-Arias, JMCastella, J.The crazy paving pattern in exogenous lipoid pneumonia: CT-pathologic correlationAJR Am J Roentgenol 1998 170 315CrossRefGoogle ScholarPubMed

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