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Radiation-induced pulmonary fibrosis

Case contributed by Pir Abdul Ahad Aziz Qureshi
Diagnosis almost certain

Presentation

Previous history of breast cancer, managed with left mastectomy, chemotherapy and radiotherapy.

Patient Data

Age: 50 years
Gender: Female

Linear and reticular densities are seen in the left upper zone with mild bronchiectasis. Findings are most likely due to radiation-induced pulmonary fibrosis.

Left-sided mastectomy is noted. Surgical clips are seen in the left axilla. 

Case Discussion

Radiation-induced pulmonary fibrosis is a late manifestation of radiation-induced lung disease (RILD) and typically occurs between 6 and 12 months following completion of radiotherapy.

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