1. Fatty bronchogram: a sign of cystic teratoma rupture in the lung.
- Author
-
Rossi G, Ronza FM, Porto A, and De Rosa N
- Subjects
- Adipose Tissue diagnostic imaging, Adipose Tissue pathology, Biopsy, Needle, Follow-Up Studies, Humans, Immunohistochemistry, Male, Mediastinal Neoplasms diagnosis, Mediastinal Neoplasms surgery, Middle Aged, Multidetector Computed Tomography methods, Neoplasm Staging, Rupture, Spontaneous diagnostic imaging, Rupture, Spontaneous surgery, Sepsis diagnosis, Sepsis etiology, Teratoma diagnosis, Teratoma surgery, Thoracotomy methods, Treatment Outcome, Bronchography methods, Mediastinal Neoplasms diagnostic imaging, Teratoma diagnostic imaging
- Abstract
A 47-year-old man was admitted to our hospital for septic fever. Multidetector computed tomography showed a pulmonary cavitated consolidation that was partially filled by low-density material and an interrupted rim of soft tissue in adjacent mediastinum, lining an inhomogeneous fat density area. Lung consolidation presented a bronchogram fluid sign with a -40 Hounsfield unit density value, which indicated a fatty bronchogram. Mediastinal cystic teratoma rupture in the lung was derived from a bacterial infection, with the lipoid material pouring into the lung and its drainage bronchus.
- Published
- 2011