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Post-Transplant Lymphoproliferative Disorder (PTLD), Polyclonal Polymorphic Type

Post-Transplant Lymphoproliferative Disorder (PTLD), Polyclonal Polymorphic Type▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Numerous peribronchovascular and angioentric nodules are present, many of which are peripheral, some exhibiting air bronchograms and airway passages. The extent and severity of disease are significant.

Key takeaways

This case demonstrates a florid presentation of Post-Transplant Lymphoproliferative Disorder (PTLD) in a renal transplant recipient, characterized by extensive pulmonary nodules. Despite the severe imaging findings, the pathology revealed a polyclonal polymorphic proliferation, which carries a better prognosis compared to monomorphic types, illustrating the spectrum of PTLD and its variable clinical course.

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