“ Fungal infection, the most common opportunistic infection. Plain film • May be normal. • Look for diffuse, bilateral airspace opacific...
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Fungal infection, the most common opportunistic infection.
Plain film
• May be normal.
• Look for diffuse, bilateral airspace opacification.
• Check for a pneumothorax—this would be nearly pathognomic for PCP in the right setting.
• Diffuse, ground-glass pattern of airspace opacification (most typical) with or without reticulation.
• Upper lobe cysts are common and prone to pneumothorax.
• No lymph node enlargement or pleural effusion.
Pneumocystis pneumonia. Computed tomography image demonstrating diffuse, bilateral ground-glass opacification.
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