Granulomatous Pneumocystis Pneumonia
Imaging findings
Chest CT shows atypical, peripheral-predominant ground-glass opacities, consolidations, and small nodules with immediate subpleural sparing in a non-neutropenic myelodysplastic syndrome (MDS) patient. Bronchoscopy confirmed Pneumocystis jirovecii (PJP).
Key takeaways
Pneumocystis jirovecii pneumonia (PJP) can present with an atypical granulomatous pattern, manifesting as peripheral consolidations and nodularity resembling eosinophilic or organizing pneumonia, especially in non-HIV immunocompromised patients.
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