CTICasesExcipient lung disease secondary to oral painkiller abuse
Imaging findings
Chest radiograph and CT scan show a new, diffuse stippled pattern of tiny centrilobular nodules throughout both lungs in a patient with a history of spinal fusion and chronic painkiller use.
Key takeaways
Diffuse, tiny centrilobular nodules in a patient with chronic pain or orthopedic hardware should raise suspicion for excipient lung disease from intravenous injection of prescribed oral analgesics.
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