Case 69

 A seventy five-year-old male came to our hospital periodically due to atopic dermatitis. He experienced slight fever, persistent cough, malaise and weight loss for a couple weeks. He hoped to receive chest CT for fearing pulmonary malignancy. Laboratory test revealed white blood cell 6350/mm³, neutrophils, 62.5% (40 – 71), eosinophils, 7% (0 – 7), atopy differentiation test, positive, and TARC (thymus and activation-regulated chemokine) 727 pg/ml (< 450).

 Chest CT (Figs. 1-4) was taken for further investigation.

What is the probable imaging diagnosis ? Choice two of the five heads.

a. Usual interstitial pneumonia

b. Nonspecific interstitial pneumonia

c. Cryptogenic organizing pneumonia

d. Chronic eosinophilic pneumonia

e. Acute eosinophilic pneumonia

1.a, b　　 2. b, c　　 3. c, d 　　 4. d, e

answer

2017.8.30