Volume 99, Issue 4, Pages (April 1991)

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Volume 99, Issue 4, Pages 928-933 (April 1991) High-Resolution Ultrafast Chest CT in the Clinical Management of Febrile Bone Marrow Transplant Patients with Normal or Nonspecific Chest Roentgenograms Thomas J. Barloon, M.D., Jeffrey R. Galvin, M.D., F.C.C.P., Masaki Mori, M.D., William Stanford, M.D., F.C.C.P., Roger D. Gingrich, M.D. CHEST Volume 99, Issue 4, Pages 928-933 (April 1991) DOI: 10.1378/chest.99.4.928 Copyright © 1991 The American College of Chest Physicians Terms and Conditions

FIGURE 1A (upper) Plain chest roentgenogram shows faint ill-defined density near upper right hilum originally interpreted as right hilar mass (arrow). Lateral chest film was considered normal. Prior chest films had been interpreted as normal. B (lower). High-resolution CT (3-mm section) shows mass density with ill-defined margins and rim of low attenuation. Patient was started on antibiotics and WBC transfusions. Both Aspergillus sp infection and Staphylococcus sepsis were found. Patient recovered. CHEST 1991 99, 928-933DOI: (10.1378/chest.99.4.928) Copyright © 1991 The American College of Chest Physicians Terms and Conditions

FIGURE 2A (upper) Chest roentgenogram shows poor definition of bronchovascular markings and Kerley's B lines (septal thickening). Hickman catheter is in superior vena cava, and right axillary surgical clips are present after lymph node dissection. B (lower). High-resolution CT (3-mm section) obtained 24 hours after chest roentgenogram shows thickening of interlobular septa (arrows). Findings were consistent with capillary leak syndrome, and patient recovered after medical therapy. CHEST 1991 99, 928-933DOI: (10.1378/chest.99.4.928) Copyright © 1991 The American College of Chest Physicians Terms and Conditions