PMC3727130_01
A 30-year-old female after illicit silicone injection. Findings: PA chest radiograph demonstrates diffuse haziness throughout the middle and lower lungs especially in the right lower lung.
CRIM.MEDICINE2013-743842.001.jpg
PMC3727130_01_CRIM.MEDICINE2013-743842.001.jpg
fig1
An initial chest radiograph demonstrated diffuse haziness throughout the middle and lower lungs more pronounced in the right lower lobe (Figure 1).
A 30-year-old female after illicit silicone injection. Findings: CT pulmonary angiography (axial (a), left sagittal (b), right sagittal (c) and coronal (d)) demonstrates diffuse, bilateral, ground-glass opacities greater on the right than on the left and predominantly at the lung bases.
CRIM.MEDICINE2013-743842.002.jpg
PMC3727130_01_CRIM.MEDICINE2013-743842.002.jpg
fig2
Pulmonary CT angiography was negative for an acute embolus but demonstrated bilateral, peripheral ground-glass opacities more prominent toward the bases (Figure 2).
Pathologic specimens obtained during bronchoscopy from a 30-year-old female after illicit silicone injection to subcutaneous tissue. Findings: Silicone infiltration with subsequent spillage into alveolar spaces; exogenous lipoid pneumonia-type injury pattern.
CRIM.MEDICINE2013-743842.003.jpg
PMC3727130_01_CRIM.MEDICINE2013-743842.003.jpg
fig3
Transbronchial biopsies revealed an injury pattern consistent with exogenous lipoid pneumonia and silicon vacuoles (Figure 3).