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DOI:10.2214/AJR.09.2471
AJR 2009; 193:1118-1121
© American Roentgen Ray Society


Clinical Observations

CT Findings in Hydrocarbon Pneumonitis After Diesel Fuel Siphonage

Mi Seon Yi1, Kun-Il Kim1, Yeon Joo Jeong2, Hye Kyung Park3 and Min Ki Lee3

1 Department of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine and Medical Research Institute, Beomeo-ri, Mulgeum-up, Yangsan 626-770, Korea.
2 Department of Radiology, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute, Busan, Korea.
3 Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute, Busan, Korea.

OBJECTIVE. The purpose of this study was to assess CT findings in a series of patients with hydrocarbon pneumonitis after diesel fuel siphonage.

CONCLUSION. The characteristic CT findings of hydrocarbon pneumonitis after diesel fuel siphonage are the presence of air–space consolidations with predominant right middle lobe involvement and areas of low attenuation within consolidation. Occasionally, bronchoalveolar lavage is needed to confirm the diagnosis of hydrocarbon pneumonitis by the presence of lipid-laden macrophages on the basis of a history of diesel fuel aspiration.

Keywords: aspiration pneumonitis • diesel • hydrocarbon pneumonitis • siphonage


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