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High-Resolution CT Findings of Respiratory Syncytial Virus Pneumonia After Bone Marrow Transplantation

Emerson L. Gasparetto1, Dante L. Escuissato1, Edson Marchiori2, Sérgio Ono1, Rodney L. Frare e Silva3 and Nestor L. Müller4

1 Department of Radiology, University of Paraná, Paraná, Brazil.
2 Department of Radiology, University of Rio de Janeiro, Rio de Janeiro, Brazil.
3 Department of Internal Medicine, University of Paraná, Paraná, Brazil.
4 Department of Radiology, Vancouver General Hospital, 899 W 12th Ave., Vancouver, BC V5Z 1M9, Canada.



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  		Fig. 1A. —17-year-old boy with aplastic anemia and respiratory syncytial virus pneumonia. High-resolution CT scan obtained at level of main bronchi shows centrilobular nodules (arrows) and adjacent ground-glass opacities in superior segment of left lower lobe.

 


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  		Fig. 1B. —17-year-old boy with aplastic anemia and respiratory syncytial virus pneumonia. High-resolution CT scan obtained at level of bronchus intermedius shows centrilobular nodules (black arrows) and ground-glass opacities in left lower lobe and localized ground-glass opacities (white arrows) in right lower lobe.

 


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  		Fig. 2. —40-year-old man with chronic myelogenous leukemia and respiratory syncytial virus pneumonia. High-resolution CT scan obtained at level of bronchus intermedius shows ground-glass opacities and dense focal areas of consolidation in left upper lobe. Note centrilobular nodular opacities (straight arrows) in left upper and right lower lobes. Centrilobular branching nodular opacities (tree-in-bud pattern, curved arrow) are present in right upper lobe.

 


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  		Fig. 3A. —39-year-old man with chronic myelogenous leukemia and respiratory syncytial virus pneumonia. High-resolution CT scans obtained at level of aortic arch show focal areas of consolidation in right upper lobe. Note centrilobular nodular opacities in right upper lobe, focal nodular opacity in left upper lobe, and nodular opacities in left lower lobe.

 


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  		Fig. 3B. —39-year-old man with chronic myelogenous leukemia and respiratory syncytial virus pneumonia. High-resolution CT scans obtained at level of aortic arch show focal areas of consolidation in right upper lobe. Note centrilobular nodular opacities in right upper lobe, focal nodular opacity in left upper lobe, and nodular opacities in left lower lobe.

 


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  		Fig. 4A. —40-year-old man with chronic myelogenous leukemia and respiratory syncytial virus pneumonia. High-resolution CT scan of right lung shows large nodule (straight arrow) in right middle lobe and small nodule (curved arrow) in right lower lobe.

 


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  		Fig. 4B. —40-year-old man with chronic myelogenous leukemia and respiratory syncytial virus pneumonia. High-resolution CT scan obtained at level of basal segments shows large nodule (straight arrow) in left lower lobe, few small centrilobular nodules (curved arrows), and patchy areas of ground-glass attenuation.

 

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