대한흉부영상의학회 Korean Society of Thoracic Radiology

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대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesArchive of Old Cases

Case No : 260 Date 2002-10-19

  • Courtesy of Yang Soo Kim, M.D. / Chung-Ang University, Yong-San Hospital, Seoul, Korea
  • Age/Sex 19 / M
  • Chief ComplaintCouhg, dyspena and fever
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Acute Eosinophilic Pneumonia
Radiologic Findings
Chest radiograph shows multi-focal areas of nodular and patchy consolidation in both lungs. Thin section CT scans show poorly defined nodular consolidations with ground glass opacities. These findings are predominant in both upper lungs. Smooth thickening of interlobular septa and accentuation of bronchial wall thickening are also noted. Scanty amount of pleural effusion is noted in right hemithorax.
Eosinophilic pneumonia was confirmed by an increased percentage of eosinophils (90%) on BAL(bronchoalveolar lavage) fluid examination and pneumonic consolidation with eosionphilic infiltration on transbronchial lung biopsy.
Brief Review
Please refer to the discussions of case 105, case 128, case 200, and Symposium1998_3.
References
Keywords
Lung, Eosinophilic lung disease,

No. of Applicants : 17

▶ Correct Answer : 7/17,  41.2%
  • - Choong-ju Hospital Konkuk University, Korea Chang Hee Lee
  • - CHU Nancy-Brabois, France Denis Regent
  • - Gwangmoung Seongae Hospital, Korea Jiyong Rhee
  • - Hangang Sacred Heart Hospital, Korea Eil Seong Lee
  • - Harasanshin hospital, Fukuoka, Japan Shunya Sunami
  • - Sarang Hospital, Incheon, Korea Jung Hee Kim
  • - Stedelijk OLV Ziekenhuis Mechelen, Belgium Ivan Pilate
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