30 results
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
eosinophilic pneumonia ... Chronic eosinophilic ... Chronic eosinophilic ... #Clinical #Radiology ... #CTChest #Eosinophilic
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
Eosinophilic Pneumonia ... Dyspnea+, Pleuritic Chest ... mechanical ventilation Chronic ... Eosinophilic Pneumonia ... #Pneumonia #diagnosis
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
polyangiitis, Eosinophilic ... syndrome) • Eosinophilic ... pneumonia: Acute ... , Chronic • Pulmonary ... #diagnosis #differential
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Diagnosis Algorithm ... pneumonia, Adrenal ... insufficiency, Chronic ... IBD Stanford Internal ... #Differential #Diagnosis
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Chronic eosinophilic ... pneumonia with ... Chronic eosinophilic ... pneumonia with ... #HRCT #CTChest
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Pneumonia (< 1 ... cough, SOB • Chronic ... Eosinophilic Pneumonia ... of asthma, CF; Chronic ... #differential #diagnosis
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... Chronic diseases ... (OP) and chronic ... eosinophilic pneumonia ... #Diagnosis #Radiology
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
month history of chronic ... the differential diagnosis ... of chronic consolidation ... There was no eosinophilia ... #Clinical #Radiology
HRCT findings in Chronic eosinophilic pneumonia
Peripheral consolidations with upper lobe predominance (photo negative of pulmonary edema).
On
HRCT findings in Chronic ... eosinophilic pneumonia ... eosinophilic pneumonia ... #Clinical #Radiology ... #CTChest #Chronic
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
cryptogenic organizing pneumonia ... (COP), chronic ... eosinophilic pneumonia ... #Diagnosis #Radiology