Radiation pulmonary fibrosis and superior vena caval obstruction

Case contributed by Dr Azza Elgendy

Presentation

Known lung cancer received radiotherapy.

Patient Data

Age: 65 years
Gender: Male

Right upper lobe lung cancer, status post mass resection and radiation therapy, shows right apical architectural distortion, fibrosis, ground glass opacity and consolidation that conforms to the radiation portal.

Bilateral paramediastinal soft tissue fullness associated with SVC obstruction from radiation. 

SVC obstruction, narrow lumen with lack of enhancement.

Case Discussion

Radiation pneumonitis implies a ground glass opacity and/or consolidation in context of a clinical pneumonia, whilst in radiation fibrosis is architectural distortion, traction bronchiectasis and fibrosis. This case shows both interstitial pneumonitis and interstitial fibrosis associated with SVC obstruction. 

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Case information

rID: 38867
Published: 8th Aug 2015
Last edited: 14th Aug 2019
System: Vascular, Chest
Inclusion in quiz mode: Included

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