case_images: PMC3952376_01
case_images: PMC3952376_02
case_images: 5-month-old male infant aspirated large amounts of paraffin oil causing respiratory distress diagnosed later as due to lipoid pneumonia (a) Chest computed tomography (CT) performed 1.5 month post-paraffin oil aspiration shows diffuse extensive airspace consolidations (arrows) in both lower lobes. (b) High-resolution chest CT taken 7 months after the incident shows persistent imaging findings (arrows) with minimal improvement.
case_images: JCIS-4-2-g002.jpg
case_images: PMC3952376_02_JCIS-4-2-g002.jpg
case_images: F1
case_images: Computed tomography (CT) scan [Figure 1a] revealed extensive bilateral consolidations in the lower lobes. Further, an additional CT scan was performed which showed persistent findings with minimal improvement [Figure 1b]. 7-years after the incident, the patient was admitted for a complete workup.
case_images: 8-year-old male with history of acute lipoid pneumonia. Follow-up high-resolution chest computed tomography taken 7-years after the episode of aspiration, shows bilateral thickening of the interlobular septa (open arrow), streaky peripheral infiltrates (arrows) and areas of hyperinflation.
case_images: JCIS-4-2-g003.jpg
case_images: PMC3952376_02_JCIS-4-2-g003.jpg
case_images: F2
case_images: BAL revealed far fewer lipid-laden macrophages, while the CT scan showed resolution of the consolidations, but evidence of residual interstitial findings [Figure 2].