137Lu Acute Eosinophilic Pneumonia

  • bilateral ground-glass areas: common
  • interlobular septal thickening: common
  • pleural effusions: can be present in ~80% (range 60-100%) of cases
  • thickening of bronchovascular bundles: present in around two-thirds of cases
  • air-space consolidation: present in around half of the cases
  • ill-defined centrilobular nodules: present in around one-third of cases

36 year old female who presented with dyspnea

CXR  revealed

36 year old female presents with dyspnea
CXR shows bibasilar patchy infiltrates.  She was treated with antibiotics
Ashley Davidoff MD
TheCommonVein.net

CT scan shows bilateral subsegmental infiltrates both along the bronchovascular bundle as well s peripherally in the lower lobes, lingula and middle lobe. The upper lobes are involved to lesser degree
Ashley Davidoff MD
TheCommonVein.net

CT scan shows bilateral subsegmental infiltrates both along the bronchovascular bundle as well s peripherally in the lower lobes, lingula and middle lobe. The upper lobes are involved to lesser degree
Ashley Davidoff MD
TheCommonVein.net

1 Week Later

Following treatment with antibiotics for 1 week the CXR shows progression of the left upper lobe infiltrate
Ashley Davidoff MD
TheCommonVein.net
dx acute eosinophillic pneumonia

A Few Days LAter

CT scan a few days later shows progressive pneumonic changes
Ashley Davidoff MD
TheCommonVein.net
dx eosinophillic pneumonia
CT scan a few days later shows progressive pneumonic changes
Ashley Davidoff MD
TheCommonVein.net
dx eosinophillic pneumonia

Patient was placed on streroids

10 days Later

CXR shows persistent diffuse changes in the left lung
Ashley Davidoff MD
TheCommonVein.net
dx eosinophillic pneumonia

 

1 Month Later

CXR 1 month later shows resolution of previously identified infiltrates
Ashley Davidoff MD
TheCommonVein.net
dx eosinophillic pneumonia
dx eosinophillic pneumonia