Korean J Gastroenterol.  2022 Nov;80(5):233-236. 10.4166/kjg.2022.119.

Lipiodol-induced Pneumonitis Following Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma

• Nam H

• KMID: 2536353
• DOI: http://doi.org/10.4166/kjg.2022.119

Figure

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  Fig. 1 Initial dynamic liver magnetic resonance image. (A, B) Axial images showed an 11.6 cm-sized mass with peripheral heterogeneous arterial enhancement and delayed washout in the right hepatic lobe. (A) Arterial phase. (B) Hepatobiliary phase.

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  Fig. 2 Angiography findings. The angiogram showed the findings of hepatocellular carcinoma supplied from the right hepatic artery. (A) Arteriovenous shunting between the hepatic artery and hepatic vein was observed during angiography (red arrow). (B) Infusion of an adriamycin and lipiodol mixture and subsequent embolization was performed.

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  Fig. 3 Chest X-ray findings. (A) No abnormal findings were noted at admission. (B) Diffuse ground-glass infiltrations were found in the bilateral lung after transcatheter arterial chemoembolization.

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  Fig. 4 Chest computed tomography findings. (A, B) Diffuse ground-glass opacities (red arrows) and interlobular septal thickening (yellow arrows) were found in both lung fields. (C) Consolidations with high internal density in the dependent portion of both upper and lower lobes.

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