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Cystic Pulmonary Lesion in a Patient With Cough and Eosinophilia*

Waldemar Hosch, MD; Erich Hecker, MD; Günter W. Kauffmann, MD, PhD; Thomas Junghanss, MD
Author and Funding Information

*From the Departments of Radiology (Drs. Hosch and Kauffmann) and Thoracic Surgery (Dr. Hecker), and Clinical Tropical Medicine Unit (Dr. Junghanss), Department of Tropical Hygiene and Public Health, University Hospital of Heidelberg.

Correspondence to: Waldemar Hosch, MD, Abt. Radiodiagnostik, Universität Heidelberg, Im Neuenheimer Feld 110, 69115 Heidelberg, Germany; e-mail: waldemar.hosch@urz.uni-heidelberg.de



Chest. 2004;126(6):1982-1984. doi:10.1378/chest.126.6.1982
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An 18-year-old male patient from Kasachstan, who had lived in Germany for the previous 20 months, presented during a short vacation in Kasachstan at a local hospital with dyspnea and hemoptysis. Several diagnostic punctures of a pulmonary cyst were seen on a chest radiograph without a definite diagnosis. After returning to Germany, the patient presented at our institution with persisting cough. On physical examination, the patient was afebrile and had absent breath sounds over the right lung base with no other abnormal findings. Routine laboratory test results were normal, apart from an elevated WBC count, with 12,300/μL and a marked eosinophilia of 30%. IgE was elevated (1,224 U/mL). The chest radiograph revealed a large cyst at the base of the right hemithorax (Fig 1 ). A CT was performed (Fig 2, 3 ).

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