Presentation
Low grade fever for 3 months, short of breath for 20 days
Patient Data
Widespread patchy ground glass opacity.
Upper zone predominant areas of reticular opacity and cysts.
No effusions.
Partial clearing of the lungs. Residual areas of ground-glass opacity, cysts and fibrosis.
Case Discussion
The patient was diagnosed with HIV after admission, and the CD4+ T-cell count was only 16/µl. CT was repeated after 3 months treatment with anti-HIV and sulphonamides.
Pneumocystis jirovecii pneumonia is a almost exclusively seen in immunocompromised individuals and in this clinical context these CT appearances point to this diagnosis.