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CT Findings of Varicella Pneumonia After Lung Transplantation

Toby M. Maher1, Narainder K. Gupta2,3, Margaret M. Burke4 and Martin R. Carby5

1 Department of Respiratory Medicine, Royal Brompton Hospital, Sydney St., London SW3 6NP, United Kingdom.
2 Department of Radiology, Harefield Hospital, Harefield, Middlesex, United Kingdom.
3 Present address: Department of Radiology, University of Pennsylvania, Philadelphia, PA.
4 Department of Pathology, Harefield Hospital, Harefield, Middlesex, United Kingdom.
5 Cardiothoracic Transplant Unit, Harefield Hospital, Harefield, Middlesex, United Kingdom.


Figure 1
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  		Fig. 1A —31-year-old man with varicella pneumonia after having undergone double lung transplantation. CT scan at level of aortic arch shows interlobular septal thickening (arrows) and scattered pulmonary nodules.

 

Figure 2
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  		Fig. 1B —31-year-old man with varicella pneumonia after having undergone double lung transplantation. CT scan at level of main carina shows prominent soft-tissue densities at both hila, diffuse ground-glass attenuation, and bilateral effusions.

 

Figure 3
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  		Fig. 1C —31-year-old man with varicella pneumonia after having undergone double lung transplantation. CT scan through lung bases reveals bilateral pleural effusions, prominent interlobular septal thickening, and multiple pulmonary nodules (arrows).

 

Figure 4
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  		Fig. 1D —31-year-old man with varicella pneumonia after having undergone double lung transplantation. CT scan shows prominent right paratracheal adenopathy (arrow).

 

Figure 5
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  		Fig. 1E —31-year-old man with varicella pneumonia after having undergone double lung transplantation. Photomicrograph of sample obtained at transbronchial biopsy shows interstitial pneumonitis with viral inclusion body in intraalveolar cell (inset). (H and E, original magnification, x200; inset, x400)

 

Figure 6
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  		Fig. 1F —31-year-old man with varicella pneumonia after having undergone double lung transplantation. CT scan obtained 14 days after initial scan shows evidence of recovery.

 

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