Bleomycin-Induced Pulmonary Toxicity
Imaging findings
CT in a young patient with testicular cancer shows acute peripheral, subpleural ground-glass opacities and consolidations typical of drug-induced organizing pneumonia. Scans four years later show residual subpleural and basilar fibrosis following drug discontinuation.
Key takeaways
Bleomycin is a common chemotherapy agent that can cause pulmonary toxicity. It typically manifests as organizing pneumonia or acute lung injury, which can resolve but often leaves permanent subpleural and basilar fibrotic changes.
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