Copyright © 2017 American Academy of Pediatrics. From: Hantavirus Pulmonary Syndrome Red Book® 2015, 2015 Figure Legend: Hantavirus pulmonary syndrome in a 16-year-old boy with a 36-hour history of fever, myalgia, and shortness of breath. Diffuse interstitial infiltrates with Kerley B lines. Diffuse nodular confluent alveolar opacities with some consolidation consistent with adult respiratory distress syndrome. Hantavirus serology confirmatory by immunoglobulin M at 1:6400. Patient recovered with supportive care including inhaled nitric oxide. This is the same patient as image 050_05. Copyright David Waagner Date of download: 12/23/2017 Copyright © 2017 American Academy of Pediatrics. All rights reserved.