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- W2767473800 abstract "An 83-year-old ex-smoker man with dyspnea and a self-limited episode of hemoptysis was found to have a left lung mass on a chest radiograph. His past medical history was significant for a remote laryngectomy performed 12 years earlier for laryngeal squamous cell carcinoma. A whole-body contrast-enhanced fluorodeoxyglucose (FDG) PET/CT (performed for staging purposes of the pulmonary mass) confirmed an FDG-avid (SUVmax 17.4) 5-cm mass (Fig. 1A) in the apical segment of the left lower lobe (LLL), but unexpectedly detected a less hypermetabolic (SUVmax 4.1) second smaller nodular opacity in a basal segment of the same lobe (Fig. 1B–D) that was initially misinterpreted as either a satellite lung nodule or a second primary synchronous lung cancer. However, a careful review of the CT component of the PET/CT study revealed small foci of fat attenuation within the satellite nodule (Fig. 2), suggesting the diagnosis of lipoid pneumonia. The patient admitted that he applied petroleum jelly (Vaseline) around the tracheostomy stoma to keep it moisturized. There was no evidence of suspicious mediastinal lymph or pleural effusion nodes. Although a bronchoalveolar lavage did not show lipid-laden macrophages, the nodular opacity slightly decreased its size during the patient’s follow-up (the patient was asked to stop the application of petroleum jelly to the stoma). Fig. 2Axial CT image (mediastinal window) of the PET/CT study (at the same level than Fig. 1C) shows a nodule in a basal segment of the left lower lobe (long arrow). Note the presence of a focus of fat attenuation within the nodule (short arrow), consistent with a lipoid pneumonia. View Large Image Figure Viewer Download Hi-res image" @default.
- W2767473800 created "2017-11-17" @default.
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- W2767473800 date "2018-02-01" @default.
- W2767473800 modified "2023-10-18" @default.
- W2767473800 title "Lipoid pneumonia mimicking multifocal lung cancer in a patient with a remote laryngectomy and a recently diagnosed lung cancer: PET/CT findings" @default.
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- W2767473800 doi "https://doi.org/10.1016/j.lungcan.2017.11.003" @default.
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