Case 86 Left Pneumothorax Due To

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.

Pneumo Cyctis Carinii
Fig. 87.1

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).

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