Radiation pulmonary fibrosis and superior venacaval obstruction

Case contributed by Dr Azza Elgendy

Presentation

Known lung cancer received radiotherapy

Patient Data

Age: 65
Gender: Male

Coronal NECT of a patient with right upper lobe lung cancer  received radiation therapy shows a right apical architectural distortion, fibrosis, and consolidation that conform to the radiation portal.

SVC obstruction, narrow lumen with lack of enhancement.

Case Discussion

Radiation pneumonitis implies a ground glass opacity and consolidation with clinical pneumonia meanwhile radiation fibrosis is architectural distortion, traction bronchiactasis and fibrosis. This case shows both interstitial pneumonitis and interstitial fibrosis associated with SVC obstruction. 

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Case information

rID: 38867
Case created: 8th Aug 2015
Last edited: 9th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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