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Fig. 16 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 16

From: Lung infections in HIV-infected children: imaging pattern recognition and its correlation with CD4 counts

Fig. 16

Fungal Infection. Frontal CXR in an 18-month-old HIV-positive male child, presented with recurrent episodes of cough & fever for last 3 weeks, reveals inhomogeneous nodular opacities involving bilateral upper lung and right lower zone (arrows, A). CECT chest (axial, lung window) showed GGO in posterior part of bilateral upper lobes & posterior basal segment of LLL (black arrows in B,C), and dense consolidation involving apical, medial basal and posterior basal segments of RLL (white arrow, C). CD4 count was 172 cells/mm3. Neutrophil count was 20%. BAL isolated Pneumocystis jiroveci and Candida species. Serial follow-up radiographs showed persistence of findings (D). Patient soon expired

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