CTICasesFocal Consolidation from Adenovirus Pneumonia in Multiple Myeloma
Imaging findings
In a patient with multiple myeloma and signs of infection, chest CT shows a focal, mass-like area of consolidation with small nodules and ground-glass opacity, without a bilateral or diffuse distribution; adenovirus was identified by PCR from this consolidation, with no pleural effusion.
Key takeaways
Viral pneumonia, including adenovirus, can present as focal, mass-like consolidation rather than the classically expected diffuse or bilateral pattern, particularly in immunocompromised hosts; the absence of a pleural effusion argued against a typical bacterial process in this case.
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