Computed tomography (CT) scanning is the best method for diagnosing aspiration pneumonia, an abscess, or an empyema. 142, No.

Acute aspiration pneumonia (Mendelson syndrome) in a 68-year-old man who had undergone surgery for intestinal obstruction. Recognition of the varied clinical and radiologic manifestations of these disease entities is imperative for prompt, accurate diagnosis, resulting in decreased morbidity and mortality rates. 56, No. Vomiting with massive aspiration of gastric contents is a very frequent phenomenon and is probably one of the most common causes of aspiration diseases (,18). (a) Posteroanterior chest radiograph demonstrates a loculated pleural collection and bilateral, ill-defined parenchymal areas of increased opacity. 2013. 4, Journal of Thoracic Imaging, Vol. CT scan shows a pulmonary mass in the right lower lobe with surrounding ground-glass attenuation due to bloody intraalveolar material. 13, No. Viewer, Figure 10a. Aspiration bronchiolitis in a 68-year-old man with Zenker diverticulum.

20 (3): 673-85. 2013 Feb. 200(2):437-41. Check for errors and try again.

Viewer. Unable to process the form. Noninfectious Granulomatous Diseases of the Chest. A presumptive diagnosis of pulmonary abscess was made. The clinical and radiographic features depend on the aspirated volume, pH, and chronicity 2. [Medline]. Epidemiology It is one of the leading causes of significant morbidity and mortality in developing countries.

The aspirate proved to be vegetable matter at surgery. [Medline].

Check for errors and try again. Response to appropriate antibiotic therapy was poor, and surgery was performed. A case of evolving aspiration pneumonia (4 of 4 images). 89, No. (Courtesy of Josep M. Mata, MD, Unidad Diagnóstica Alta Tecnología, Sabadell, Spain. Day 6 x-ray shows worsening bilateral lower zone changes; worse on the right with some parapneumonic effusion as well. (2012) ISBN:1608319113. tion. Posteroanterior chest radiograph shows ill-defined nodular areas of increased opacity in both lower lobes (arrows).Download as PowerPointOpen in Image Laurent F, Philippe JC, Vergier B, Granger-Veron B, Darpeix B, Vergeret J, et al.

Complete healing of bronchiolar inflammation may occur. Lippincott Williams & Wilkins. (a) Anteroposterior chest radiograph obtained less than 2 hours after surgery demonstrates a focal consolidation in the right lower lobe, a finding that is consistent with aspiration pneumonia. Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, Society of Nuclear Medicine and Molecular ImagingDisclosure: Nothing to disclose. Pediatric Radiology (Rotations in Radiology). Biapical pleuroparenchymal areas of increased opacity are also seen, findings that are consistent with radiation changes. Lentil aspiration pneumonia: Granulomatous pneumonitis caused by aspiration of leguminous material (e.g., lentils, beans, peas) Diffuse aspiration bronchiolitis : Recurrent aspiration; typically elderly patients with neurologic disorders, dementia, or oropharyngeal dysphagia 2, No. Thin-section (2-mm-collimation) CT scan through the lung bases (lung window) shows patchy areas of increased attenuation and thickened interlobular septa in both lower lobes. Crit Care Med. 20 (3): 673-85. 27 (4):745-8. Subsequently, this patient developed aspiration pneumonia. An 84-year-old man in generally good health had fever and cough.

(c) CT scan through the lung bases shows diffuse, 1-3-mm centrilobular nodules and branching areas of increased attenuation with a “tree-in-bud” appearance. 1, Radiología (English Edition), Vol. Posteroanterior radiograph demonstrates a left lower lobe opacity.

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