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Clin Imaging ; 37(4): 680-6, 2013.
Article in English | MEDLINE | ID: mdl-23313188

ABSTRACT

OBJECTIVE: To analyze high-resolution computed tomography (HRCT) patterns of lung involvement and disease course in patients with hematological malignancies experiencing diffuse alveolar hemorrhage (DAH) after chemotherapy ± allogeneic stem cell transplantation (allo-SCT). MATERIALS AND METHODS: Sixteen patients experiencing DAH after chemotherapy ± allo-SCT were enrolled. A total of 74 computed tomography (CT) scans obtained before, during, and after onset of DAH were evaluated retrospectively. RESULTS: CT features of DAH are each, by oneself, nonspecific. However, conjoint bilateral, diffuse, and dependent ground glass opacity ± crazy paving, accompanied by airspace bronchograms, should suggest this complication. The HRCT course comprises a wide range of trends that are not predictive for patient's outcome, but progression of parenchymal consolidations at follow up was more often detrimental.


Subject(s)
Hematologic Neoplasms/complications , Hemorrhage/diagnostic imaging , Lung Diseases/diagnostic imaging , Pulmonary Alveoli/diagnostic imaging , Adult , Aged , Disease Progression , Female , Follow-Up Studies , Hematologic Neoplasms/diagnostic imaging , Hematologic Neoplasms/therapy , Hemorrhage/etiology , Hemorrhage/therapy , Humans , Lung Diseases/etiology , Lung Diseases/therapy , Male , Middle Aged , Platelet Transfusion , Retrospective Studies , Stem Cell Transplantation , Steroids/therapeutic use , Tomography, X-Ray Computed/methods , Treatment Outcome
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