Acute aspiration pneumonitis

Case contributed by Dr Henry Knipe

Presentation

Low saturations post-operative.

Patient Data

Age: 80 years
Gender: Male
X-ray

Day 0 post-operative

Dense right mid to upper zone consolidation, predominantly perihilar. Left lung is clear. No pleural effusion. ETT tip projects at T2/3. 

X-ray

Day 1 post-operative

Right mid to upper zone consolidation is resolving. The patient has been extubated. 

X-ray

Day 2 post-operative

The right mid to upper zone consolidation has essentially resolved. No new region of consolidation. No pleural effusion. 

Case Discussion

The patient was noted to aspirate at anaesthetic induction. Classic location (right upper lobe) with fast resolution (48 hours). Infective consolidation typically takes much longer to clear.

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Case information

rID: 62370
Published: 15th Aug 2018
Last edited: 15th Aug 2018
System: Chest
Inclusion in quiz mode: Included

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