Autoimmune > PIE

AJR Am J Roentgenol 1996 Nov;167(5):1195-1199

Acute eosinophilic pneumonia: radiographic and CT findings in six patients.

Cheon JE, Lee KS, Jung GS, Chung MH, Cho YD

Department of Radiology, Samsung Medical Center, Kangnam-Ku, Seoul.

OBJECTIVE: Our objective was to assess the radiographic and CT findings of acute eosinophilic pneumonia.

CONCLUSION: Initial and follow-up chest radiographs, chest CT scans (n = 5) and clinical data in six patients with acute eosinophilic pneumonia were reviewed by two chest radiologists. The predominant initial radiographic finding was diffuse bilateral reticular densities (four [67%] of six patients). Areas of ground-glass opacity were observed on CT scans in all patients (5 of 5) and were bilateral, random, and patchy in distribution in four (80%) of five patients. Smooth septal thickening and pleural effusions were observed in four patients. The disease manifested as rapid onset of severe dyspnea and fever and rapid resolution with (n = 3) or without (n = 3) steroid therapy. Bilateral reticular densities on chest radiographs and, on CT scans, ground-glass opacity with smooth septal thickening and pleural effusion associated with acute fever and dyspnea may suggest the diagnosis of acute eosinophilic pneumonia.

PMID: 8911179, MUID: 97067851

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