Τίτλος:
High-resolution CT findings in mild pulmonary fat embolism
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objective: The aim of this article is to describe the high-resolution CT
(HRCT) findings in mild cases of fat embolism syndrome (FES).
Material and methods: Nine patients with FES were examined with HRCT of
the lungs (collimation, 1 mm/edge-enhancement algorithm). The median age
of the patients was 26 years (range, 17 to 35 years). Five cases were
included prospectively, and four cases were reviewed retrospectively. Of
the major clinical criteria for FES, respiratory signs were present in
six patients, CNS signs were present in two patients, and petechiae was
present in six patients. HRCT patterns were recorded and analyzed. The
type of injury and FES-associated clinical findings were also recorded.
Results: HRCT findings included ground-glass opacities in seven
patients, associated with thickened interlobular septa in five patients
and a patchy distribution resulting in a geographic appearance in four
patients. A nodular pattern was observed in two patients. Resolution of
the abnormalities occurred within 16.4 days (range, 7 to 25 days).
Conclusion: The HRCT findings of mild fat embolism consist of bilateral
ground-glass opacities and thickening of the interlobular septa.
Centrilobular nodular opacities are present in some patients.
Συγγραφείς:
Malagari, K
Economopoulos, N
Stoupis, C
Daniil, Z and
Papiris, S
Muller, NL
Kelekis, D
Εκδότης:
AMER COLL CHEST PHYSICIANS
Λέξεις-κλειδιά:
fat embolism; high-resolution CT; pulmonary fat embolism; trauma
DOI:
10.1378/chest.123.4.1196
