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Updated: Jul 2, 2025

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
["Crack lung" - atypical bilateral pneumonia].
Pia Maria Plank1, Christopher Alexander Hinze2, René Abu Isneineh3
1Klinik für Kardiologie und Angiologie, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland. Plank.Pia@mh-hannover.de.
Inhaling crack and freebase cocaine can cause alveolar hemorrhage and acute respiratory distress syndrome (ARDS). A detailed medical history is crucial for diagnosis, especially when ruling out infections.
Area of Science:
- Pulmonology
- Toxicology
- Radiology
Background:
- Crack and freebase cocaine inhalation are associated with severe pulmonary complications.
- Alveolar hemorrhage is a known consequence of stimulant drug use.
Observation:
- A 48-year-old male presented with symptoms suggestive of severe lung injury.
- Computed tomography (CT) of the thorax showed bilateral consolidation and ground-glass patterns with a subpleural gap.
Findings:
- The patient's condition progressed to respiratory insufficiency and acute respiratory distress syndrome (ARDS).
- The CT findings were consistent with inhalant-induced lung injury.
Implications:
- This case underscores the importance of considering substance abuse in patients with unexplained respiratory failure.
- A comprehensive medical history is vital for accurate diagnosis and management of toxic lung injury.
- Prompt identification can prevent further complications and guide appropriate treatment strategies.
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