PMC6527914_01
Chest CT-Angiogram obtained 31 days after the initial administration of amiodarone. Bilateral peripheral ground-glass opacities are seen with a possible reverse halo sign in the left lower lobe.
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Chest X-ray demonstrated persistent multifocal opacities, and a chest CT showed bilateral peripheral ground-glass opacities with a possible reverse halo sign of the left lower lobe (Fig. 1).
Cytology of bronchoalveolar lavage which revealed foamy macrophages with surrounding eosinophils (Papanicolaou stain, original magnification x600).
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Candida albicans, which was thought to be a contaminant. Cytology ultimately demonstrated occasional foamy macrophages and an increased number of eosinophils (Fig. 2), leading to the diagnosis of amiodarone-induced eosinophilic pneumonia.