Pyrofluid inhalation in "fire-eaters": Sequential findings on CT

We report the sequential computed tomography (CT) findings in two fire-eate rs after accidental inhalation of pyrofluid. The initial chest radiographic findings were ambiguous and the interpretation of the radiographs was bias ed by clinical history unrelated to fire eating. On CT, pneumatoceles were the major findings in both patients. The pneumatoceles resolved rapidly, le aving only minimal scarring. Our cases illustrate the sequential evolution of pneumatoceles in fire-eaters after the inhalation of pyrofluid and docum ents the rapidity with which the lesions regress. The rare accidental inhal ation of pyrofluid in fire-eaters may produce a puzzling clinical and radio graphic picture and can be confused with other lung disorders.