Pulmonary Roentgen Findings Following Renal Transplantations

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Abstract
A retrospective study of 45 autopsied cases of renal transplant recipients was undertaken. An attempt was made to correlate the roentgen findings with the pathologic data in an attempt to rapidly diagnose infective diseases by X-rays as immuno-suppressive measures inhibited the natural immunological responses. This was moderately successful in approximately one-third of the patients. The roentgenographic findings of nodules correlated best with cytomegalovirus, local alveolar consolidation indicating bacterial disease and cavities indicating fungal disease. In the remaining patients multiple organisms were present. One or occasionally 2 of the pathogens could be suggested if the above roentgen findings were present. However, a large number of yet undefined pathogens in a significant group of patients remains. When renal and cardiac functions are good, pulmonary edema should be discarded from the differential diagnosis of lung infiltrates in transplant patients.

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