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Radiology, Vol 201, 43-44, Copyright © 1996 by Radiological Society of North America

ARTICLES

Miliary lung disease after intravesical bacillus Calmette-Guerin immunotherapy

RM Jasmer, MJ McCowin and WR Webb
Department of Medicine, University of California, San Francisco Medical Center 94143, USA.

Clinical and radiologic findings in a 73-year-old man who developed a systemic illness while receiving intravesical bacillus Calmette-Guerin (BCG) immunotherapy for bladder cancer are presented. Thin-section chest computed tomographic findings included a diffuse pattern of small nodules consistent with miliary disease. Potential mechanisms explaining the pulmonary disease resulting from intravesical BCG treatment include a hypersensitivity reaction or actual BCG infection of the lungs.




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