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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Copyright © 2004 by the American Roentgen Ray Society.
