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Thin-Section CT Findings in 32 Immunocompromised Patients with Cytomegalovirus Pneumonia Who Do Not Have AIDS

Tomás Franquet1,2, Kyung S. Lee3 and Nestor L. Müller1

1 Department of Radiology, Vancouver Hospital and Health Sciences Center and University of British Columbia, 855 W. 12th Ave., Vancouver BC V5Z 1M9, Canada.
2 Present address: Department of Radiology, Hospital de Sant Pau, Universitat Autónoma de Barcelona, Avda. Sant Antoni M. Claret 167, Barcelona 08025, Spain.
3 Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, Seoul 135-710, Korea.



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  		Fig. 1. —28-year-old man with acute myeloid leukemia and bone marrow transplant. Thin-section (1-mm collimation) CT scan shows multifocal patchy areas of ground-glass attenuation and poorly defined centrilobular nodules in both lungs.

 


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  		Fig. 2. —23-year-old man with acute myeloid leukemia and bone marrow transplant. CT scan obtained at level of carina shows diffuse ground-glass attenuation and multiple poorly defined centrilobular opacities in both lungs.

 


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  		Fig. 3. —25-year-old man with acute myeloid leukemia and bone marrow transplant. Thin-section (1-mm collimation) CT scan shows multiple scattered poorly defined centrilobular nodules. Focal areas of ground-glass attenuation are also visible.

 


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  		Fig. 4. —32-year-old man with aplastic anemia and bone marrow transplant. Thin-section (1-mm collimation) CT scan shows multiple scattered bilateral lung nodules surrounded by halo of ground-glass attenuation.

 


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  		Fig. 5. —45-year-old man who underwent heart transplantation. Thin-section (1-mm collimation) CT scan obtained at level of lung bases shows multiple scattered lung nodules in both lungs and peripheral patchy areas of consolidation in left lower lobe.

 


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  		Fig. 6. —52-year-old man who underwent liver transplantation. Thin-section (1-mm collimation) CT scan obtained at level of carina shows multiple peripheral lobular areas of consolidation in both lungs.

 


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  		Fig. 7A. —23-year-old man with acute myeloid leukemia and bone marrow transplant. Thin-section (1-mm collimation) CT scan obtained at level of aortic arch shows poorly marginated peripheral nodule in right upper lobe. Note small left pleural effusion.

 


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  		Fig. 7B. —23-year-old man with acute myeloid leukemia and bone marrow transplant. CT scan obtained at level of inferior pulmonary veins shows focal area of consolidation surrounded by ground-glass opacity in left lower lobe. Angioinvasive pulmonary aspergillosis was suspected.

 


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  		Fig. 8. —51-year-old man with chronic myelogenous leukemia and bone marrow transplant. Thin-section (1-mm collimation) CT scan shows poorly defined centrilobular nodules and peripheral tree-in-bud opacities.

 

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