Radiation pneumonitis complicating mediastinal radiotherapy postpneumonectomy

T. Shulimzon, S. Apter, R. Weitzen, A. Yellin, H. J. Brenner, A. Wollner

Research output: Contribution to journalArticlepeer-review


Radiation pneumonitis is a well-characterized clinicopathological syndrome. The severity of radiation-induced lung injury correlates, among other factors, with the extent of lung volume incorporated within the field of radiation. The present article describes the cases of two patients with radiation pneumonitis following pneumonectomy and mediastinal radiotherapy. Postpneumonectomy pulmonary-mediastinal shift of the remaining lung towards the operated side, with inclusion of lung parenchyma within the 'mediastinal' radiation portals, resulted in a substantial (albeit clinically unsuspected) radiation pneumonitis. Chest computed tomography in the postpneumonectomy patient may be helpful to evaluate the degree of pulmonary-mediastinal shift and optimization of the radiotherapy field.

Original languageEnglish
Pages (from-to)2697-2699
Number of pages3
JournalEuropean Respiratory Journal
Issue number12
StatePublished - 1996
Externally publishedYes


  • chest computed tomography
  • lung cancer
  • mediastinal radiotherapy
  • postpneumonectomy pulmonary-mediastinal shift
  • radiation pneumonitis


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