Pulmonary paracoccidioidomycosis and AIDS: high-resolution CT findings in five patients.
OBJECTIVE
To study the high-resolution computed tomographic (HRCT) findings in patients with AIDS and pulmonary paracoccidioidomycosis (PCM).


METHODS
The study included 5 consecutive patients (4 men and 1 woman, with ages ranging between 35 and 57 years; mean, 48 years) with diagnosis of AIDS and pulmonary PCM. All patients underwent HRCT, and the images were reviewed by 2 radiologists who reached decisions by consensus.


RESULTS
The predominant HRCT findings in the present series were large nodules (80%), cavited air-space consolidations (80%), ground-glass attenuation (80%), and cicatricial emphysema in the bases (80%). These lesions predominated bilaterally in the middle regions (80%) of the lungs.


CONCLUSIONS
The most common HRCT features in patients with AIDS and pulmonary PCM are large nodules associated with cavitated air-space consolidations and ground-glass attenuation, as well as cicatricial emphysema in the pulmonary bases. These findings are usually distributed bilaterally in the middle lung zones of the lungs.
Marchiori
Edson
E
Department of Radiology, University Fluminense and of Rio de Janeiro, Rio de Janeiro, Brazil.
Gasparetto
Emerson L
EL
Escuissato
Dante L
DL
Souza
Arthur Soares
AS
Barreto
Miriam Menna
MM
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications* / Q000000981:diagnostic imaging; D000328:Adult; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010229:Paracoccidioidomycosis / Q000000981:diagnostic imaging*; D011656:Pulmonary Emphysema / Q000000981:diagnostic imaging; D011859:Radiography; D012189:Retrospective Studies