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Acute Eosinophilic Pneumonia

Imaging findings

Chest radiograph and CT show widespread, bilateral, patchy areas of ground-glass opacity and consolidation with a peripheral and basal predominance, accompanied by mild centrilobular nodularity and bronchial wall thickening.

Key takeaways

Acute eosinophilic pneumonia can present in patients with a history of asthma as rapidly progressive, diffuse ground-glass opacities and consolidation that may mimic atypical infection. Key diagnostic clues include high peripheral or bronchoalveolar lavage eosinophilia and an extremely rapid, dramatic therapeutic response to corticosteroid therapy.

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