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Case of the Week 399



What is the most likely diagnosis?

  • 31 year-old transgender male with shortness of breath



Frontal radiograph of the chest

  1. Loeffler Syndrome
  2. Silicone Embolism
  3. Pneumocystis Pneumonia
  4. Measles Pneumonia
  5. Lymphoma

Additional Images - CT scans of the Chest

 

 

Additional Images

 

Axial and Coronal Reformatted CT Scans of Chest


Answer:

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2. Silicone Embolism Syndrome

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More (Click Discussion Tab)


Silicone Embolism Syndrome

General Considerations

  • Occurs following injection of liquid silicone, commonly for cosmetic purposes (most often young women and transgender men) due to low cost compared to plastic surgery
  • Performed by unlicensed individuals at “pumping parties”
  • Incidence unknown secondary to its illegal use by non-professionals

MORE...


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.