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Post-Transplant Lymphoproliferative Disorder (PTLD)

Imaging findings

Massive upper mediastinal and right hilar lymphadenopathy with low attenuation centers on CT. Accompanied by pleural effusions.

Key takeaways

While low attenuation lymphadenopathy often suggests mycobacterial infection, it can also manifest in aggressive lymphomas like PTLD in transplant patients. Extensive adenopathy is a rare but possible presentation for PTLD.

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