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Pulmonary Injury Resulting from Vaping or e-Cigarette Use: Imaging Appearances at Presentation and Follow-up
Radiology. Cardiothoracic imaging, 2020-08, Vol.2 (4), p.e200081-e200081
Panse, Prasad M
Feller, Fionna F
Butt, Yasmeen M
Smith, Maxwell L
Larsen, Brandon T
Tazelaar, Henry D
Harvin, Howard J
Gotway, Michael B
2020
Volltextzugriff (PDF)
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Autor(en) / Beteiligte
Panse, Prasad M
Feller, Fionna F
Butt, Yasmeen M
Smith, Maxwell L
Larsen, Brandon T
Tazelaar, Henry D
Harvin, Howard J
Gotway, Michael B
Titel
Pulmonary Injury Resulting from Vaping or e-Cigarette Use: Imaging Appearances at Presentation and Follow-up
Ist Teil von
Radiology. Cardiothoracic imaging, 2020-08, Vol.2 (4), p.e200081-e200081
Ort / Verlag
United States: Radiological Society of North America
Erscheinungsjahr
2020
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Electronic cigarette or vaping product use-associated lung injury most frequently presents with an acute lung injury pattern at CT, manifesting as multifocal ground-glass opacity and/or consolidation, typically multifocal and multilobar, possibly with subpleural sparing. Areas of organization, manifesting as contracting consolidation, mild architectural distortion, intralobular lines, lobular distortion, and traction bronchiectasis may occur as the illness evolves. A CT appearance resembling hypersensitivity pneumonitis, reflecting the exquisitely bronchiolocentric micronodular lesions of organizing pneumonia and acute lung injury seen at histopathologic findings in these patients, may be encountered. Less common CT appearances include organizing pneumonia or acute eosinophilic pneumonia patterns, the latter consisting of multifocal opacity and smooth interlobular septal thickening, possibly with small effusions, but without clinical evidence of volume overload. Patients may present with pneumothorax or pneumomediastinum, or these conditions may develop during their illness course. Most patients improve clinically and at imaging on follow-up, particularly following exposure cessation and corticosteroid therapy, but the time course to improvement is variable and most likely related to the severity of the lung injury. Radiologists should be familiar with the imaging manifestations of vaping-associated pulmonary injury, and the possibility of this condition should be considered when the imaging findings reviewed in this article are encountered. © RSNA, 2020.
Sprache
Englisch
Identifikatoren
ISSN: 2638-6135
eISSN: 2638-6135
DOI: 10.1148/ryct.2020200081
Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7977764
Format
–
Schlagworte
Imaging
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