CTICasesCytomegalovirus Pneumonia in Liver Transplant
Imaging findings
CT chest in a liver transplant recipient shows bilateral, symmetric peribronchovascular consolidations and ground-glass opacities with associated dilated airways and small pleural effusions, representing organizing lung injury. CMV PCR was positive.
Key takeaways
Cytomegalovirus (CMV) is a common viral pathogen in post-transplant patients. CMV pneumonia typically presents as an organizing pneumonia or interstitial pneumonitis pattern. In transplant recipients presenting with fever and organizing lung injury, CMV should be high in the differential.
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