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Post-Transplant Lymphoproliferative Disorder

Imaging findings

CT chest in a lung transplant recipient shows multiple, well-circumscribed, homogeneous nodules in the right lung base, without air bronchograms.

Key takeaways

Post-transplant lymphoproliferative disorder (PTLD) is a serious complication of chronic immunosuppression, typically driven by Epstein-Barr virus (EBV). The radiographic features (homogenous nodules, masses) are nonspecific and overlap with opportunistic infections like Cryptococcus or Nocardia, requiring pathological confirmation.

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