Bleomycin lung toxicity (organizing pneumonia pattern)

Case contributed by Dr Amr Farouk


60-year-old diagnosed metastatic breast cancer shifted to bleomycin chemotherapy 4 months ago

Patient Data

Age: 60 year old
Gender: Female

Initial CT exam of the chest before the start of bleomycin chemotherapy showed no pulmonary consolidations

CT exam 3 months after showing newly developed multiple scattered bilateral pulmonary predominantly lower lobar areas of alveolar opacities (consolidations and ground glass infiltrates).

CT exam 3 months later showing newly developed multiple bilateral mainly upper lobar airspace alveolar opacities/consolidations with near total resolution of the lower lobar opacities.


Case Discussion

Bilateral multifocal ground glass opacifications and/or consolidation with a predominantly subpleural distribution in a patient receiving bleomycin representing interstitial lung disease (organizing pneumonia pattern).

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Case information

rID: 57552
Published: 1st Jan 2018
Last edited: 14th Aug 2019
System: Chest, Oncology
Inclusion in quiz mode: Excluded

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