The CXR shows an obvious left pneumothorax. However, the right lung also shows cystic changes in the upper lobe. Following left chest tube insertion, the follow-up CXR (Fig. 86.2) also shows similar changes in the left upper lobe. Subsequent bron-choalveolar lavage showed Pneumocystis carinii. Upper lobe cystic form of Pneumocystis carinii typically appears in those with HIV who are on prophylactic nebulized pentamidine.
Case 87. This patient gave a history of lung cancer surgery a few years ago followed by radiotherapy. Her CXR is shown (Fig. 87.1).
Was this article helpful?
Among the evils which a vitiated appetite has fastened upon mankind, those that arise from the use of Tobacco hold a prominent place, and call loudly for reform. We pity the poor Chinese, who stupifies body and mind with opium, and the wretched Hindoo, who is under a similar slavery to his favorite plant, the Betel but we present the humiliating spectacle of an enlightened and christian nation, wasting annually more than twenty-five millions of dollars, and destroying the health and the lives of thousands, by a practice not at all less degrading than that of the Chinese or Hindoo.