Significant Aspirations: Recurrent Pneumonia

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Fig. 1. Chest X-ray taken during the patient's first admission demonstrates opacities in the right middle lobe and right lower lobe, suggesting pneumonia.

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Significant Aspirations: Recurrent Pneumonia Ines Kevric, BS, Richard S. Morehead, MD The American Journal of Medicine Volume 126, Issue 11, Pages 956-959 (November 2013) DOI: 10.1016/j.amjmed.2013.08.001 Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 1 Posteroanterior and lateral chest x-rays showed the opacity in the right upper-lobe anterior segment. The American Journal of Medicine 2013 126, 956-959DOI: (10.1016/j.amjmed.2013.08.001) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 2 Computed tomography (CT) of the chest was obtained. (A) An initial study demonstrated airspace opacities in the right lower and middle lobes—these produced air bronchograms. (B) A study obtained 3 months after the patient's initial chest CT disclosed scattered right lower- and middle-lobe airspace opacities with peripheral nodules suggestive of tree-in-bud pattern. (C) Five months after the first chest CT was obtained, another study revealed dense consolidation of the left upper and lower lobes. Resolving right upper-lobe disease also was seen. (D) Ten months after the initial chest CT, nearly complete resolution of the infiltrates was noted. The American Journal of Medicine 2013 126, 956-959DOI: (10.1016/j.amjmed.2013.08.001) Copyright © 2013 Elsevier Inc. Terms and Conditions

Figure 3 A lung biopsy documented a foreign body reaction with amorphous material consistent with food particles (arrows) (hematoxylin and eosin stain, x200). The American Journal of Medicine 2013 126, 956-959DOI: (10.1016/j.amjmed.2013.08.001) Copyright © 2013 Elsevier Inc. Terms and Conditions