대한흉부영상의학회 Weekly Chest Cases

Courtesy of Myung Hee Chung, M.D. / Holy Family Hospital, The Catholic University of Korea, Bucheon, Korea
Age/Sex 70 / F
Chief ComplaintDry cough, dyspnea for several days (Hodgkin’s lymphoma. treatment two months ago)

Diagnosis: Acute Radiation Pneumonitis
Radiologic Findings: Serial chest radiographs show rapid change of diffuse ground glass opacities with reticulations to the dense consolidations in the upper lung fields within a few days. Initial chest CT shows right axillary lymphadenopathy with slight marginal rim enhancement 5 months ago. She has received radiation therapy 2 months ago. HR CT show well-demarcated, irregular ground glass opacities and interlobular septal thickenings in the whole lung fields. Irregular linear strands and traction bronchiectasis are vertically arranged at the upper lung fields, especially in the right side. Lesions are random in distribution, and present beyond the radiation portal sites. Increased densities are sharply demarcated from the normal lung fields.
Brief Review
References: Please also refer to Case 205.
Keywords: Lung, Iatrogenic lung disease, Radiation complication,

대한흉부영상의학회 Korean Society of Thoracic Radiology