Demographics:
37 years old, Female
Indication:
Acute respiratory failure, history of left breast cance...
Acute respiratory failure, history of left breast cancer
Findings
Chest radiograph
- Endotracheal tube terminates at the level of the carina
- Gastric suction catheter with tip and side port overlying the gastric fundus
- Right IJ approach Port-A-Cath with tip overlying the superior cavoatrial junction
- No focal airspace opacification or edema
- Bilateral breast prostheses
CT
Chest
- Debris layering in the trachea and right mainstem bronchus with multifocal bronchial plugging in the right lower lobe
- Mild patchy groundglass opacities in the left lower lobe
- Left lower lobe calcified granuloma
- Tangential postradiation changes in the left anterior lung
- Biapical scarring, more so on the left
- Calcified subcarinal and left hilar lymph nodes
- Endotracheal tube terminates in the mid thoracic trachea, in appropriate position
- Right IJ approach Port-A-Cath with tip in the right atrium
Upper abdomen
- Gastric suction tube tip in the gastric fundus
- Cholecystectomy
- Hepatic steatosis
MSK
- Surgical changes of bilateral mastectomies with bilateral breast prostheses
Diagnosis
Aspiration
Sample Report
Mild patchy groundglass opacities in the left lower lobe are concerning for aspiration and/or pneumonia. Aspiration is of particular concern given debris in the central airways and plugging multiple right lower lobe bronchi.
Endotracheal tube terminates in satisfactory position.
Discussion