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2

Acute aspiration

Barium aspiration. A barium swallow was conducted in a 53-year-old woman. Imaging revealed hyperdense airway-centered material in the left lower lobe consistent with barium aspiration bronchiolitis. A tracheoesophageal fistula was confirmed

From the collection of Dr Augustine Lee; used with permission of Mayo Foundation for Medical Education and Research, all rights reserved

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1

Acute aspiration

Bronchoscopy showing barium aspiration in a lung transplant patient in the right mainstem bronchus after a barium swallow study

From the collection of Dr Kamran Mahmood

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3

Acute aspiration

A. Portable upright chest x-ray before aspiration; B. Chest x-ray 1 hour after aspiration, showing bilateral diffuse alveolar infiltrates, worse at the bases on the right side

From the collection of Dr Henri Colt

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4

Acute aspiration

Lipoid pneumonia. A 77-year-old woman with dysphagia and achalasia following a stroke presented with recurrent lung infiltrates, including a persisting right middle lobe lesion. Hounsfield units (HU) measurement was -157, consistent with lipoid pneumonia. Comparative subcutaneous fat and aorta (blood/tissue) HU are shown

From the collection of Dr Augustine Lee, used with permission of Mayo Foundation for Medical Education and Research, all rights reserved

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