Lipoid pneumonia

Case contributed by Dr Eric F Greif

Presentation

Chronic cough.

Patient Data

Age: 53
Gender: Male
X-ray

There are bibasilar infiltrates greater on left. There is blunting of the left costophrenic angle suggesting a small left pleural effusion. 

CT

There is bilateral low-attenuation consolidations with greatest involvement of the left lung. Opacification of the left mainstem bronchus consistent with mucous plugging or aspiration. Small bilateral pleural effusions, greater on left with some loculation. Volume loss of the left hemithorax. Findings are typical for lipoid pneumonia with chronic changes. 

Case Discussion

Patient had long history of constipation and ingested mineral oil for its known laxative effect.  Patient presented to the emergency room with chronic cough and shortness of breath for 6 months. Unaware, patient must have aspirated the mineral oil at some time during his self treatment. On follow up the radiographs showed chronic infiltrates and some fibrotic changes particularly in the left lung. 

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Case information

rID: 27371
Case created: 31st Jan 2014
Last edited: 23rd Dec 2015
System: Chest
Inclusion in quiz mode: Included

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