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Cardiac Eosinophilic Syndrome

Imaging findings

Striking edema, thickening of the peribronchovascular interstitium, bilateral pleural effusions, and circumferential subendocardial hypoperfusion/delayed enhancement on cardiac MRI.

Key takeaways

This pattern reflects cardiac involvement in the setting of extreme hypereosinophilia, which can mimic other systemic vasculitides like EGPA.

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