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Anhydrous ammonia inhalation injury

Imaging findings

CT scan shows acute ground-glass opacities in the right upper lobe with bronchiectasis and secretions in the airways, progressing to diffuse mosaic attenuation reflecting air trapping and constrictive bronchiolitis.

Key takeaways

Anhydrous ammonia exposure (often related to illicit methamphetamine production) causes acute chemical airway injury and pneumonitis. Long-term sequelae include bronchiectasis and constrictive bronchiolitis.

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