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American Journal of Roentgenology, Vol 96, 972-978, Copyright © 1966 by American Roentgen Ray Society


COMPLICATIONS FOLLOWING LYMPHOGRAPHY WITH PARTICULAR REFERENCE TO PULMONARY OIL EMBOLIZATION

MELVIN E. CLOUSE M.D.1, JONAS HALLGRIMSSON M.D.2, and DALE E. WENLUND M.D.3

1 Clinical and Research Fellow in Radiology, Massachusetts General Hospital
2 Assistant in Pathology, Harvard Medical School and Clinical Fellow in Pathology, Massachusetts General Hospital
3 Resident in Radiology, Massachusetts General Hospital

The complications resulting from 108 lymphographic examinations have been reviewed, with particular reference to unusual pulmonary changes following oil embolization, observed in 5 cases.

The microscopic pathologic changes seen in guinea pig lungs after the intravenous injection of ethiodol have been described to explain the presence of soft, moderately discrete linear-nodular densities observed in human lungs following lymphography. These roentgenographic changes in human lungs appear to be related to: (1) an inflammatory reaction to the contrast material; (2) volume of contrast medium reaching the lung; and (3) individual host response.


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