ABSTRACT
We prospectively studied 64 consecutive patients on whom computerized tomography-guided fine needle aspirations (CT-FNA) of pulmonary lesions were performed to determine whether obtaining a delayed chest radiography (CXR) after CT-FNA is helpful in the diagnosis of post-procedure pneumothorax (PTX). Two of the 64 patients developed a delayed PTX. Only one of the patients with a delayed PTX required chest tube drainage. If patients have no evidence of a PTX immediately after a CT-FNA by CT scan then a delayed CXR adds little to care of these patients.
Subject(s)
Pneumothorax/diagnostic imaging , Pneumothorax/pathology , Aged , Biopsy, Needle/methods , Humans , Lung Diseases, Obstructive/etiology , Lung Diseases, Obstructive/pathology , Male , Prospective Studies , Radiography, Interventional , Tomography, X-Ray Computed/methodsABSTRACT
Household exposures may result in a variety of respiratory illnesses. Most of these inhalation injuries are benign and self-limited. However, an acute injury that results in exacerbation of asthma or chronic fibrosing processes may be life-threatening. We report the case of a patient who suffered a massive household dust exposure when the bag of his upright vacuum cleaner exploded. Inhalation of the dust resulted in respiratory distress characterized by non-cardiogenic pulmonary edema. We believe this is the first report of acute respiratory distress syndrome (ARDS) as a result of endotoxin exposure from the inhalation of household dust.
