Lipoid pneumonia in 53 patients after aspiration of mineral oil: comparison of high-resolution computed tomography findings in adults and children

J Comput Assist Tomogr. 2010 Jan;34(1):9-12. doi: 10.1097/RCT.0b013e3181a9ec9f.

Abstract

Objective: To evaluate the high-resolution computed tomography (HRCT) findings in 53 patients with exogenous lipoid pneumonia and to compare the imaging features of adults and children.

Materials and methods: The study included 35 children and 18 adults. Statistical comparisons of findings in the 2 age groups were performed using either Pearson chi2 or Fisher exact test, as appropriate, at 5% significance level.

Results: The main HRCT findings included air-space consolidation, ground glass attenuation, air-space nodules, and crazy-paving pattern. Abnormalities predominated in the posterior regions of the right lung. The right lower lobe was most likely to show severe involvement.

Conclusions: The presence of air-space consolidation, the involvement of upper right lobe, and the central and posterior distribution of the lesions were more common in children, whereas the crazy-paving pattern and random localization were significantly more frequent in adults. The other findings were not different between the 2 groups.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Emollients*
  • Female
  • Humans
  • Infant
  • Lung / diagnostic imaging*
  • Male
  • Middle Aged
  • Mineral Oil*
  • Observer Variation
  • Pneumonia, Lipid / diagnostic imaging*
  • Retrospective Studies
  • Tomography, X-Ray Computed / methods*

Substances

  • Emollients
  • Mineral Oil