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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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