PTLD with Pulmonary and Cutaneous Involvement
Imaging findings
CT chest shows bilateral pulmonary consolidations. CT of the face shows a soft tissue mass in the cheek. Both lesions demonstrated rapid regression on follow-up imaging after a reduction in the patient's immunosuppressive regimen.
Key takeaways
Post-transplant lymphoproliferative disorder (PTLD) is a spectrum of lymphoid proliferation in transplant recipients. It can present with multiple pulmonary consolidations and extranodal masses (e.g., in the cheek). First-line treatment often involves reducing immunosuppression, which can lead to rapid regression.
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