Eosinophilic pneumonia CT
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
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]
- Ground-glass attenuation
- Consolidation
- Nodules
- Septal thickening
- Pleural effusions
- Thickening of bronchovascular bundles
- The lesions usually involve the peripheral regions of the middle or upper lung zones.
- The radiologic diagnosis of other causes of eosinophilic lung such as drug-induced pulmonary eosinophilia and hypereosinophilic syndrome is rarely possible.
- Common CT findings of ABPA consist of bronchiectasis, mucous plugging, bronchial wall thickening, atelectasis, consolidation, areas of ground-glass attenuation, and upper and central lung predominance.[4]
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.