Eosinophilic pneumonia CT

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]

Overview

Characteristic CT findings of CEP include ground-glass attenuation, consolidation, Nodules, septal thickening, Pleural effusions, and thickening of bronchovascular bundles.

CT

Computed tomography can help characterize the distribution of opacities and guide selection of an area of involvement for bronchoalveolar lavage.[1]

Characteristic CT findings of CEP include:[2][3]

Acute eosinophilic pneumonia shows ground glass opacification (yellow circles) and thickening of bronchovascular bundles (red circles), source: Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 39331
Chronic eosinophilic pneumonia shows ground glass opacification (yellow circles) and thickening of bronchovascular bundles (red circles), source: Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 39331

References

  1. Rhee CK, Min KH, Yim NY, Lee JE, Lee NR, Chung MP; et al. (2013). "Clinical characteristics and corticosteroid treatment of acute eosinophilic pneumonia". Eur Respir J. 41 (2): 402–9. doi:10.1183/09031936.00221811. PMID 22599359.
  2. Marchand E, Reynaud-Gaubert M, Lauque D, Durieu J, Tonnel AB, Cordier JF (1998). "Idiopathic chronic eosinophilic pneumonia. A clinical and follow-up study of 62 cases. The Groupe d'Etudes et de Recherche sur les Maladies "Orphelines" Pulmonaires (GERM"O"P)". Medicine (Baltimore). 77 (5): 299–312. PMID 9772920.
  3. Ebara H, Ikezoe J, Johkoh T, Kohno N, Takeuchi N, Kozuka T; et al. (1994). "Chronic eosinophilic pneumonia: evolution of chest radiograms and CT features". J Comput Assist Tomogr. 18 (5): 737–44. PMID 8089322.
  4. Johkoh T, Müller NL, Akira M, Ichikado K, Suga M, Ando M; et al. (2000). "Eosinophilic lung diseases: diagnostic accuracy of thin-section CT in 111 patients". Radiology. 216 (3): 773–80. doi:10.1148/radiology.216.3.r00se01773. PMID 10966710.