Imaging characteristics of pneumocystis pneumonia after renal transplantation.
Identification of Pneumocysis pneumonia (PCP) after renal transplantation has a great impact on early diagnosis and therapy, which could decrease its mortality. Due to a lack of characteristic clinical symptoms, imaging modalities became very important in the diagnosing PCP. Thirteen PCP patients after renal transplantation were reviewed. They underwent a series of chest radiographs and chest high-resolution CT scans. The common radiological presentations were bilateral diffuse symmetrical ground-glass and consolidation opacities, followed by pneumoceles or air-filled cysts or linear or reticular shadows. Ground-glass attenuations were showed clearly on HRCT in 13 patients, while only 6 on CXR. Pneumoceles or cysts (n = 8) were seen only on HRCT. Air-filled cysts or pneumoceles within bilateral diffuse symmetrical ground-glass and consolidation opacities may be the characteristic of this disease. If combined with clinical data, the diagnosis of PCP could be established.
Song
Ting
T
Department of Radiology, The Third Affiliated Hospital of Guangzhou Medical College, No. 63 Duobao Road, Guangzhou, Guangdong, China.
Wei
Li-Ping
LP
Chen
Wen-Jun
WJ
Liu
Ping
P
Mai
Wei-Wen
WW
Li
Zhi-Zhao
ZZ
D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011020:Pneumonia, Pneumocystis / Q000000981:diagnostic imaging* / Q000209:etiology; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D055815:Young Adult