Spontaneous Bronchial Casts Expectoration in Patient With Radiation Pneumonitis

We present a case of a 47-year-old woman with a history of right pleural mesothelioma status post partial pleurectomy, decortication, and intraoperative hyperthermic chemotherapy, followed by adjuvant proton radiation therapy. She also has a remote history of Hodgkin lymphoma treated with systemic chemotherapy and radiation therapy to the mediastinum. Three months post proton therapy, she presented with a progressive chronic cough and thick sputum production with spontaneous bronchial casts expectoration in the form of the bronchial tree (Figure).

Source: Mayo Clinic Proceedings - March 31, 2020 Category: Internal Medicine Authors: Rayan El Hajjar, Nicolo L. Cabrera, Alexandre E. Malek Tags: Medical image Source Type: research