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Bronchiolitis Obliterans

Imaging findings

Lung transplant patient presented with shortness of breath. CT imaging showed mosaic attenuation, air trapping, and a nodular/fibrotic pattern in the upper lobes, indicative of bronchiolitis obliterans and subsequent allograft fibrosis.

Key takeaways

Bronchiolitis obliterans is a major cause of graft dysfunction in lung transplant recipients, manifesting with obstructive physiology and distinct imaging features like mosaic attenuation. It may progress to involve restrictive fibrotic patterns.

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