Clinical history

Case 44

A 70-year-old psychiatric patient with progressive dyspnea.

Radiological images


Radiological findings


CT images


CT findings


Extra Examinations


Bronchoscopy with bronchoalveolar lavage revealed fat droplets with a high number of lipid-laden macrophages. Additional interrogation of the patient revealed a history of chronic intake of paraffin for constipation.

Final diagnosis


Lipoid pneumonia caused by aspiration of paraffin oil.

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