Fat embolism syndrome CT: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Fat embolism syndrome}} | {{Fat embolism syndrome}} | ||
{{CMG}} | {{CMG}} {{AE}} {{FT}} | ||
==Overview== | ==Overview== | ||
High resolution computed tomopraphy (HRCT) of the lung shows thickening of the [[Interlobular arteries|interlobular]] septa, bilateral ground-glass opacities and centrilobular nodular opacities. CT scan of the head is also done in patients with [[Neurology|neurological]] deficits. | |||
==CT== | ==CT== | ||
=== High resolution computed tomopraphy (HRCT) of the lung: === | |||
High resolution computed tomopraphy (HRCT) of the lung reveals the following findings:<ref name="pmid27510627">{{cite journal| author=Tang CX, Zhou CS, Zhao YE, Schoepf UJ, Mangold S, Ball BD et al.| title=Detection of pulmonary fat embolism with dual-energy CT: an experimental study in rabbits. | journal=Eur Radiol | year= 2017 | volume= 27 | issue= 4 | pages= 1377-1385 | pmid=27510627 | doi=10.1007/s00330-016-4512-2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27510627 }} </ref><ref name="pmid25328460">{{cite journal| author=Akoh CC, Schick C, Otero J, Karam M| title=Fat embolism syndrome after femur fracture fixation: a case report. | journal=Iowa Orthop J | year= 2014 | volume= 34 | issue= | pages= 55-62 | pmid=25328460 | doi= | pmc=4127739 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25328460 }} </ref><ref name="pmid26938691">{{cite journal| author=Piolanti M, Dalpiaz G, Scaglione M, Coniglio C, Miceli M, Violini S et al.| title=Fat Embolism Syndrome: Lung Computed Tomography Findings in 18 Patients. | journal=J Comput Assist Tomogr | year= 2016 | volume= 40 | issue= 3 | pages= 335-42 | pmid=26938691 | doi=10.1097/RCT.0000000000000376 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26938691 }} </ref> | |||
* Thickening of the [[Interlobular arteries|interlobular]] septa | |||
* Bilateral ground-glass opacities<ref name="pmid10634667">{{cite journal| author=Heyneman LE, Müller NL| title=Pulmonary nodules in early fat embolism syndrome: a case report. | journal=J Thorac Imaging | year= 2000 | volume= 15 | issue= 1 | pages= 71-4 | pmid=10634667 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10634667 }} </ref> | |||
* Centrilobular nodular opacities<ref name="pmid16628042">{{cite journal| author=Gallardo X, Castañer E, Mata JM, Rimola J, Branera J| title=Nodular pattern at lung computed tomography in fat embolism syndrome: a helpful finding. | journal=J Comput Assist Tomogr | year= 2006 | volume= 30 | issue= 2 | pages= 254-7 | pmid=16628042 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16628042 }} </ref> | |||
=== CT scan brain: === | |||
It is performed in the following patients: | |||
* [[Neurology|Neurological]] deficits | |||
* Deterioration of the [[consciousness]] | |||
CT head helps rule out other causes of loss of consciousness | |||
Following findings are seen: | |||
* Diffuse white matter [[Petechia|petechial]] [[Bleeding|hemorrhages]] | |||
[[File:Suspected-fat-embolism.jpg|thumb|centre|300px|CT chest of fat embolism syndrome]] | |||
<br> | |||
[[File:Cerebral-fat-embolism-1.jpg|thumb|centre|300px|Cerebral fat embolism]] | |||
==References== | ==References== | ||
Latest revision as of 14:04, 6 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]
Overview
High resolution computed tomopraphy (HRCT) of the lung shows thickening of the interlobular septa, bilateral ground-glass opacities and centrilobular nodular opacities. CT scan of the head is also done in patients with neurological deficits.
CT
High resolution computed tomopraphy (HRCT) of the lung:
High resolution computed tomopraphy (HRCT) of the lung reveals the following findings:[1][2][3]
- Thickening of the interlobular septa
- Bilateral ground-glass opacities[4]
- Centrilobular nodular opacities[5]
CT scan brain:
It is performed in the following patients:
- Neurological deficits
- Deterioration of the consciousness
CT head helps rule out other causes of loss of consciousness
Following findings are seen:
- Diffuse white matter petechial hemorrhages
References
- ↑ Tang CX, Zhou CS, Zhao YE, Schoepf UJ, Mangold S, Ball BD; et al. (2017). "Detection of pulmonary fat embolism with dual-energy CT: an experimental study in rabbits". Eur Radiol. 27 (4): 1377–1385. doi:10.1007/s00330-016-4512-2. PMID 27510627.
- ↑ Akoh CC, Schick C, Otero J, Karam M (2014). "Fat embolism syndrome after femur fracture fixation: a case report". Iowa Orthop J. 34: 55–62. PMC 4127739. PMID 25328460.
- ↑ Piolanti M, Dalpiaz G, Scaglione M, Coniglio C, Miceli M, Violini S; et al. (2016). "Fat Embolism Syndrome: Lung Computed Tomography Findings in 18 Patients". J Comput Assist Tomogr. 40 (3): 335–42. doi:10.1097/RCT.0000000000000376. PMID 26938691.
- ↑ Heyneman LE, Müller NL (2000). "Pulmonary nodules in early fat embolism syndrome: a case report". J Thorac Imaging. 15 (1): 71–4. PMID 10634667.
- ↑ Gallardo X, Castañer E, Mata JM, Rimola J, Branera J (2006). "Nodular pattern at lung computed tomography in fat embolism syndrome: a helpful finding". J Comput Assist Tomogr. 30 (2): 254–7. PMID 16628042.