Case of the week 9.16.19
Publication Date: 2019-09-16
3 images
Findings
Orthogonal radiographs of the thorax are available for interpretation.
There is stippled mineral opaque material consistent with positive contrast medium within the ventral aspect of the right middle lung lobe, and a small amount scattered throughout the cranial subsegment of the left cranial and right cranial lung lobes.
There is an alveolar pattern in the ventral aspect of the caudal subsegment of the left cranial lung lobe.
The cardiovascular structures are normal.
The pleural space and mediastinum are normal. There is multifocal incidental spondylosis deformans.
Diagnosis
The alveolar pattern in the caudal subsegment of the left cranial lung lobe is consistent with aspiration pneumonia. The contrast medium in the right middle, right cranial, and cranial subsegment of the left cranial lung lobes is consistent with aspiration of contrast medium.
Discussion
The barium will eventually be reabsorbed through macrophages and will accumulate within the locoregional lymph nodes.
Files