30 yo female with h/o
DM2,
substance abuse disorder.
recent
smoking/inhaling crack cocaine 1 week prior
developed a cough productive of thick brownish sputum,
dyspnea
Clinical
afebrile
sat=93% on 4L
chest is clear, h
Imaging
Normal CXR 3 Years Ago
Normal CXR 3 years Earlier Ashley Davidoff MD TheCommonVein.net crack-injury-001-
CXR on day of admission
diffuse bilateral pulmonary alveolar infiltrates
CXR shows iffuse bilateral pulmonary alveolar infiltrates Ashley Davidoff MD TheCommonVein.net crack-injury-002
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-003
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-004
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-004 d
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-004 e
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-005
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-006
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-007
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-008
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-009
CT scan on day of admission shows diffuse predominantly ground glass opacities dominant in upper and mid lung fields, with subpleural sparing, and basilar sparing, particulalrly in the basal recesses Ashley Davidoff MD TheCommonVein.net crack-injury-010
CT scan on day of admission liver cirrhosis and splenomegaly Ashley Davidoff MD TheCommonVein.net crack-injury-010
CXR 4 days later shows persistent but improvong diffuse bilateral pulmonary alveolar infiltrates Ashley Davidoff MD TheCommonVein.net crack-injury-012
upper lobes
central lung and
bronchovascular bundles.
diffuse bilateral pulmonary alveolar infiltrates
GGOs
sparing of the periphery and bases. Her infiltrates are worst in the and have preference for the
Progress
Within a day clinical improvement