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日本呼吸器学会英文誌 Respiratory Investigation
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Abstract

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Article in Japanese

Case Report

A case of diffuse aspiration bronchiolitis presenting various radiological shadow

Yumie Yamanakaa,b  Hideaki Yamakawaa,b  Shigeru Komatsua,Koji Okudelac  Tamiko Takemurad  Takashi Oguraa 

aDepartment of Respiratory Medicine, Kanagawa Cardiovascular and Respiratory Center
bDepartment of Respiratory Medicine, Tokyo Jikei University Hospital
cDepartment of Pathobiology, Yokohama City University Graduate School of Medicine
dDepartment of Pathology, Japanese Red Cross Medical Center

ABSTRACT

A 70-year-old man who underwent proximal gastrectomy for gastric cancer at the age of 62 presented to our hospital with progressive cough and chest abnormality. Chest computed tomography showed centrilobular nodules and mild bronchiectasis, along with nodular opacities in the peribronchovascular bundles, peripleura, and thickening of the interlobular septum. Histological findings of video-assisted thoracoscopic lung biopsy showed foreign body granuloma with mononuclear infiltration around the respiratory bronchioles, and a diagnosis of diffuse aspiration bronchiolitis was established. This case revealed highly suggestive contents for coexisting atypical radiological shadow.

KEYWORDS

Diffuse aspiration bronchiolitis  Nodular shadow  Silent aspiration 

Received 2 Sep 2016 / Accepted 13 Dec 2016

AJRS, 6(3): 150-154, 2017

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