Presentation
Patient with metastatic breast cancer shifted to bleomycin chemotherapy 4 months ago.
Patient Data
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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