대한흉부영상의학회 Korean Society of Thoracic Radiology

Discussion

Diagnosis With Brief Discussion

Chief Complaint

Blood-tinged sputum and dyspnea after strenuous exercise

Past History

Past history (-), amateur marathoner

Reviewy

Exercise-Induced Pulmonary Hemorrhage
Occurs frequently in Thoroughbred horses; almost all thoroughbreds demonstrate bleeding in the lower respiratory tract after a race.
Marathon runners, triathletes, cyclists, and swimmers.
Clinical manifestations: dyspnea, hemoptysis, epistaxis
Mechanism: capillary wall tearing / remodeling of small pulmonary veins.
CT: multifocal diffuse, patchy ground glass opacity and interlobular septal thickening on both lungs
permeability pulmonary edema or pulmonary hemorrhage

Keywords