Document 0859
 DOCN  M9440859
 TI    [Bullous pneumopathy and spontaneous pneumothorax. Atypical radiologic
       patterns of Pneumocystis carinii pneumonia]
 DT    9404
 AU    Lazzari Agli L; Viglietta G; Arlotti M; Ciammarughi R; Forlani S;
       Muratore F; Divisione di Medicina Generale, Ospedale Infermi, Rimini.
 SO    Radiol Med (Torino). 1993 Dec;86(6):826-32. Unique Identifier : AIDSLINE
       MED/94126501
 AB    Pneumocystis carinii pneumonia (PCP) is certainly the most frequent
       opportunistic pulmonary infection in AIDS patients. Besides the
       conventional radiographic features demonstrating bilateral infiltrates
       and airspace consolidation, atypical radiologic patterns are reported in
       the literature, which are characterized by spontaneous pneumothorax and
       by the presence of bullae, cysts and areas of pulmonary cavitation.
       Forty consecutive PCP patients were investigated, ten of them presenting
       with atypical radiographic findings: 1 case of spontaneous pneumothorax
       with no evidence of bullae and 9 cases of bullous lung disease--5 of
       them complicated by spontaneous pneumothorax. Several pathogenetic
       hypotheses were considered; lesions evolution and the differential
       radiologic diagnosis were discussed. As for diagnosis, the value of
       chest CT scans is emphasized, together with that of HRCT which is
       extremely valuable to localize, characterize and evaluate bullous
       lesions and associated parenchymal signs.
 DE    Acquired Immunodeficiency Syndrome/COMPLICATIONS  Adult  Diagnosis,
       Differential  English Abstract  Human
       Pneumonia/COMPLICATIONS/*RADIOGRAPHY  Pneumonia, Pneumocystis
       carinii/COMPLICATIONS/*RADIOGRAPHY
       Pneumothorax/COMPLICATIONS/*RADIOGRAPHY  Retrospective Studies  JOURNAL
       ARTICLE

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