CTICasesCrack Cocaine Lung
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Imaging findings
Chest x-ray showed bilateral diffuse hazy opacities, possibly with air bronchograms, consistent with non-cardiogenic pulmonary edema or pulmonary hemorrhage. CT revealed bilateral partially consolidative and partially reticular opacities with septal thickening, showing a gradual effect and increased density from anterior to posterior, with a central predilection.
Key takeaways
Crack cocaine lung, or "crack lung," often presents as diffuse alveolar damage, with non-specific radiological features including bilateral hazy opacities on chest x-ray and consolidative/reticular opacities with septal thickening on CT, typically with a central distribution. While eosinophilia is often expected, it may not always be present in laboratory findings.
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