Thin-Section CT Findings in Hematopoietic Stem Cell Transplantation Recipients with Respiratory Virus Pneumonia
Tomas Franquet1,
Sonia Rodriguez1,
Rodrigo Martino2,
Ana Giménez1,
Teresa Salinas1 and
Alberto Hidalgo1
1 Department of Radiology, Hospital de Sant Pau, Universitat Autónoma de
Barcelona, Avda Sant Antoni Ma Claret 167, 08025 Barcelona,
Spain.
2 Department of Hematology, Hospital de Sant Pau, Universitat Autónoma de
Barcelona, 08025 Barcelona, Spain.

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Fig. 1 48-year-old woman with pneumonia due to parainfluenza A virus
infection after hematopoietic stem cell transplantation for acute myeloid
leukemia. Transverse thin-section (1-mm collimation) CT scan through hila
shows extensive bilateral areas of ground-glass attenuation affecting both
upper lobes.
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Fig. 2 60-year-old man with parainfluenza 3 infection and severe
neutropenia after chemotherapy and hematopoietic stem cell transplantation for
myelodysplastic syndrome. Transverse thin-section (1-mm collimation, lung
window) CT scan at level of right hilum shows subsegmental area of
ground-glass opacity (arrows) in posterior segment of right upper
lobe.
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Fig. 3A 59-year-old man with adenovirus infection after hematopoietic
stem cell transplantation for Hodgkin's disease. Transverse thin-section (1-mm
collimation, lung window) CT scan obtained at level of lower pulmonary veins
shows branching distal structures (tree-in-bud pattern) (arrow).
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Fig. 3B 59-year-old man with adenovirus infection after hematopoietic
stem cell transplantation for Hodgkin's disease. Transverse thin-section (1-mm
collimation, lung window) CT scan at level of suprahepatic inferior vena cava
shows bilateral multifocal small nodules (arrowhead), branching
multiple ill-defined bilateral nodules (black arrow), and thickening
of small bronchial walls (white arrow).
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Fig. 4 58-year-old man with neutropenia and human metapneumovirus
pneumonia after hematopoietic stem cell transplantation. Transverse
thin-section (1-mm collimation) CT scan obtained at level of bronchus
intermedius shows bilateral areas of ground-glass attenuation and ill-defined
centrilobular nodules affecting posterior segment of right upper lobe and both
superior segments of lower lobes.
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Fig. 5 48-year-old woman with pneumonia due to syncytial respiratory
virus infection after hematopoietic stem cell transplantation for
non-Hodgkin's lymphoma. Transverse thin-section (1-mm collimation) CT scan of
lower left lobe shows small nodules (arrow) and branching
centrilobular nodules (tree-in-bud pattern) (arrowheads).
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Copyright © 2006 by the American Roentgen Ray Society.