title: Radio-opaque punctate opacities on the chest radiograph following intravenous injection of a bismuth compound.
abstract: The case history is described of a patient who presented with small rounded punctate metallic opacities widely dispersed on the chest radiograph with accumulation of metallic particles in the right ventricle. Energy dispersive x ray spectroscopy of alveolar macrophages identified a major predominant peak as bismuth. The patient had been injected with a health tonic in Honduras two years earlier.
authors.affiliation: Department of Medicine, New York University Medical Center, Bellevue Hospital Center, NY 10016, USA.
authors.forename: D J
authors.initials: DJ
authors.lastname: Addrizzo-Harris
authors.forename: A
authors.initials: A
authors.lastname: Churg
authors.forename: W N
authors.initials: WN
authors.lastname: Rom
mesh_terms: D000328:Adult; D001729:Bismuth / Q000008:administration & dosage*; D000529:Complementary Therapies; D005547:Foreign Bodies / Q000000981:diagnostic imaging; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D007275:Injections, Intravenous; D008168:Lung / Q000000981:diagnostic imaging*; D008297:Male; D011859:Radiography
chemical_list: D001729:Bismuth