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Diffuse Lung Disease: Diffuse Lung Disease |

Don't Trust a Patient By It's Images: Atypical CT Scan Findings for Chronic Eosinophilic Pneumonia

Hammad Arshad, MD; Meilin Young, MD; Tariq Cheema, MD
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Allegheny General Hospital, Pittsburgh, PA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A198. doi:10.1016/j.chest.2016.02.205
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SESSION TITLE: Diffuse Lung Disease

SESSION TYPE: Case Report Poster

PRESENTED ON: Sunday, April 17, 2016 at 11:45 AM - 12:45 PM

INTRODUCTION: Chronic Eosinophilic Pneumonia is a rare pulmonary disorder associated with intense and abnormal eosinophilic infiltrates.

CASE PRESENTATION: A 49 year old male with Past Medical History of Raynaud's disease and remote smoking was evaluated in our office for symptoms of chronic shortness of breadth and non productive cough. His Pulmonary Function Tests were significant for moderate restriction with severe decrement in the diffusion capacity. A CT scan of the chest showed ground glass opacities in the lower lobe with reticulations and traction bronchiactesis suggestive of pulmonary fibrosis. His connective tissue disorder workup was negative and a bronchoscopy with BAL did not reveal any abnormality. He had a subsequent VATS procedure with wedge biopsy from Left lingual and lower lung lobe showing patchy interstitial and alveolar infiltrates with eosinophilic predominance, pseudo DIP reaction and centrilobular fibrosis with no lymphoid nodules. Pt was started on systemic steroids with improvement of his symptoms.

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