ROENTGENOGRAPHIC MANIFESTATIONS OF VARICELLA PNEUMONIA WITH POSTMORTEM CORRELATION

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Abstract
Although there are a vast number of etiologies capable of producing disseminated lesions in the lungs, it should be possible to recognize at least an alveolar acinar pattern of distribution of the pulmonary infiltrate. This, with a history of exposure to chickenpox, makes the roentgenographic diagnosis of varicella pneumonia possible in the majority of cases. The presence of diffuse scattered fine residual pulmonary nodulations in 6 of the cases examined as long as 6 years after the infection suggests either residual scarring from acute pleural pox or a chronic varicella etiology in some cases. Postmortem correlation reveals that the cutaneous varicella lesion is matched by similar lesions regularly found in the lungs and pleura as well as the peritoneum and the liver.

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