Unilateral lung hyperlucency after mediastinal irradiation.
A 39-yr-old woman developed progressive exertional dyspnea 13 yr after receiving mediastinal irradiation for Hodgkin's disease. Chest roentgenogram showed a hyperlucent right lung. Pulmonary blood flow was markedly reduced on the right by ventilation-perfusion scanning. Pulmonary angiography showed attenuation and diffuse atrophy of the right pulmonary artery and its branches. This case represents a late and uncommon complication of mediastinal irradiation manifesting as a unilateral hyperlucent lung.
Wencel
M L
ML
Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor 48109-0360.
Sitrin
R G
RG
D000328:Adult; D005260:Female; D006689:Hodgkin Disease / Q000532:radiotherapy*; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging* / Q000528:radiation effects; D008198:Lymph Nodes; D008206:Lymphatic Diseases / Q000532:radiotherapy; D008479:Mediastinal Neoplasms / Q000532:radiotherapy*; D009333:Neck; D011832:Radiation Injuries / Q000000981:diagnostic imaging*; D013902:Radiography, Thoracic