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Viral Bronchopneumonia due to Human Metapneumovirus

Imaging findings

CT shows diffusely thickened bronchial walls with adjacent areas of tree-in-bud opacity and consolidation, a pattern of viral bronchitis and bronchopneumonia.

Key takeaways

PCR confirmed human metapneumovirus, and the findings were considered absolutely typical for viral bronchopneumonia from this organism, forming a companion case to a previously presented metapneumovirus case, reinforcing the characteristic bronchial-wall-thickening and tree-in-bud pattern of viral airway infection.

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