CTICasesFentanyl Patch Inhalation Lung Injury
Imaging findings
Chest radiographs and CT in a patient with acute respiratory distress show bilateral, symmetric, diffuse ground-glass opacities with geographic sparing, primarily in a perihilar distribution, consistent with acute alveolar hemorrhage or non-cardiogenic pulmonary edema.
Key takeaways
Inhaling or smoking illicit substances, including fentanyl patches, can cause acute toxic lung injury (similar to "crack lung"). This typically manifests as acute diffuse alveolar damage, capillary leak, and alveolar hemorrhage, presenting radiographically with diffuse ground-glass opacities and clinically with hemoptysis and acute respiratory distress.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Duchenne Muscular Dystrophy CardiomyopathyCongenital
- Cardiac Amyloidosis with Left Atrial DominanceMetabolic
- Eosinophilic Granulomatosis with PolyangiitisAutoimmune
- Tendyne Transcatheter Mitral Valve ReplacementArtifact
- Iatrogenic Brachiocephalic Artery to Innominate Vein FistulaIatrogenic
- Unicuspid Aortic ValveCongenital
- Fontan Palliation Progression for Tricuspid AtresiaCongenital
- Pulmonary Arteriovenous Malformation with Systemic Collateral SupplyCongenital
See all cases from February 18, 2017 →
Related Exposure cases
- Synthetic Cannabinoid-Induced Bronchiolitis
- Berylliosis Presenting as Dense Mediastinal Lymphadenopathy without Lung Involvement
- Aluminum Dust-Induced Alveolar Proteinosis
- Chest Wall Injection Granulomatosis with Hypercalcemia
- Macklin Phenomenon and Acute Lung Injury from Cocaine and Methamphetamine Abuse
- Barium Aspiration in Head and Neck Cancer Patient (Diffuse Aspiration Bronchiolitis)