EURORAD ESR

Case 14033

Lung Cavitated Lesions in a Drug Addict: think of Septic Emboli

Author(s)
Teiga, Eduardo; Zuccarino, Flavio; Sánchez, Juan; Carbullanca, Santiago

Hospital del Mar; Passeig Maritim 08005 Barcelona, Spain
 
Patient
female, 25 year(s)
 
 
  • Figure 1
    Chest X-ray
     

    Admission Chest X-ray discloses bilateral peripheral nodules and cavitated lesions in left pulmonary parenchyma.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Cavitated nodule

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Cavitated nodule

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 2
    CT scan
     

    Peripheral cavitated lesions

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Cavity lesions

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Coronal axis view Peripheral distribution of Cavitated lesions and Feeding vessel sign ( most specific )

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Feeding Vessel Sign MIP

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 3
    5 days Postadmission CT
     

    Cavity lesions growth

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Cavity lesions growth

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 4
    1 week postadmission Chest X-Ray
     

    Left tension pneumothorax with mediastinal shift as a complication of mechanical ventilation

     
    Area of Interest: Cardiovascular system; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Pneumothorax and nodule growth

     
    Area of Interest: Cardiovascular system; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
Admission Chest X-ray discloses bilateral peripheral nodules and cavitated lesions in left pulmonary parenchyma.
 
Cavitated nodule
 
Cavitated nodule
 
Peripheral cavitated lesions
 
Cavity lesions
 
Coronal axis view Peripheral distribution of Cavitated lesions and Feeding vessel sign ( most specific )
 
Feeding Vessel Sign MIP
 
Cavity lesions growth
 
Cavity lesions growth
 
Left tension pneumothorax with mediastinal shift as a complication of mechanical ventilation
 
Pneumothorax and nodule growth
 
 
 
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