1. CMV pneumonia. The patient is a 22-year-old female with congenital heart disease, common variable immunodeficiency, being treated for Burkitt' lymphoma. (A) Baseline frontal chest x-ray demonstrates a right upper extremity PICC (black arrow), PDA ligation clip (black circle), and some scarring in the left lung, probably from prior infections in this immunocompromised patient (white arrow). (B) Several months later the patient presented with fever and cough. Chest x-ray demonstrates subtly increased reticular opacities throughout most of the right lung. Faint nodular opacities in the left lung are annotated as well (black circle). (C) Magnified view of a portion of the right upper lung with baseline image on the left and admission chest x-ray on the right. Although subtle, note the increased linear densities in the right image. (D) Axial chest CT demonstrates patchy ground glass opacities in the right upper lobe (white circle). Compare this to the denser consolidation seen in Figs. C1.2 and C1.4. White arrows indicate examples of reticular opacities. Bronchoalveolar lavage was performed, and CMV was isolated.
Source: Cardiothoracic Imaging, Introduction to Diagnostic Radiology
Citation: Elsayes KM, Oldham SA. Introduction to Diagnostic Radiology; 2015 Available at: Accessed: October 14, 2017
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