23 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 ... + BAL > 25% eosinophils ... Dyspnea+, Pleuritic Chest ... mechanical ventilation Chronic ... Eosinophilic Pneumonia
Eosinophilia - Differential Diagnosis Algorithm
Idiopathic Eosinophilia
Primary Eosinophilia:
 • Primary hypereosinophilic syndrome
 • Eosinophilic Leukemia
 • MPN/MDS
Eosinophilia - Differential ... Primary Eosinophilia ... GI, lung, skin), ... pneumonia, Adrenal ... insufficiency, Chronic
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
Approach to Eosinophilic ... • Acute Eosinophilic ... Eosinophilic Pneumonia ... fever, rhinitis • Eosinophilic ... BCM_InternalMed #Eosinophilic
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
HRCT findings in Chronic eosinophilic pneumonia
Peripheral consolidations with upper lobe predominance (photo negative of pulmonary edema).
On
eosinophilic pneumonia ... eosinophilic pneumonia ... #Clinical #Radiology ... #CTChest #Chronic ... #Eosinophilic #
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Interstitial Lung ... Bird fanciers' lung ... polyangiitis, Eosinophilic ... syndrome) • Eosinophilic ... , Chronic • Pulmonary
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... month history of chronic ... There was no eosinophilia ... which excludes eosinophilic ... #Clinical #Radiology
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
On the left two cases with chronic consolidation. 
There are patchy non-segmental consolidations in a subpleural
two cases with chronic ... In chronic eosinophilic ... there will be eosinophilia ... this #Clinical #Radiology ... #CTChest #COP #