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On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
On the left a case ... and an abnormal chest ... non-segmental consolidations ... #Clinical #Radiology ... #CTChest #Eosinophilic
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
Eosinophilic Pneumonia ... Pneumonia? ... Pneumonia (AEP) ... Dyspnea+, Pleuritic Chest ... - Peripheral Consolidations
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Chronic eosinophilic ... pneumonia with ... pneumonia with ... #Clinical #Radiology ... #HRCT #CTChest
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
know, that the pathology ... This was a consolidation ... caused by Sterptococcus ... pneumoniae. ... #Clinical #Radiology
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
that present with consolidation ... way to think of consolidation ... caused by streptococcus ... OP) and chronic eosinophilic ... #Diagnosis #Radiology
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... include the list of causes ... of chronic consolidation ... caused by Streptcoccus ... #Clinical #Radiology
HRCT findings in Chronic eosinophilic pneumonia
Peripheral consolidations with upper lobe predominance (photo negative of pulmonary edema).
On
consolidations ... pneumonia. ... distribution of the consolidations ... #Clinical #Radiology ... #CTChest #Chronic
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
with multifocal consolidations ... multiple ill-defined masses ... There was no eosinophilia ... which excludes eosinophilic ... #Clinical #Radiology
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Consolidation - ... Lobar consolidation ... Nodule - Multiple Masses ... Diagnosis #Clinical #Radiology
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
post-obstructive pneumonia ... like organizing pneumonia ... OP) or chronic eosinophilic ... pneumonia, which ... #Diagnosis #Radiology