In spite of improvements in single or double lung transplantation (LT)
technique, complications after LT are not uncommon; the most frequent
ale anastomotic complications, infections and rejection (acute or chr
onic). Early detection of complications of LT allows the optimal thera
peutic option to be taken, yielding decreased morbidity and mortality.
In some cases, CT plays a key role in early detection of several comp
lications of LT that may not be depicted with other diagnostic modalit
ies, so that knowledge of their CT features is important. In this pict
orial review, the authors describe the spectrum of CT features of the
complications of LT (including reimplantation response, mechanical pro
blems, acute and chronic rejection, infection, lymphoproliferative dis
orders, recurrence of the initial disease and complications involving
the pleura and the anastomotic sites). In addition, the authors analyz
e the value of CT compared to that of the other available modalities f
or the detection of complications of LT.