CTICasesPneumocystis jirovecii Pneumonia
Imaging findings
Serial chest radiographs in a patient with HIV show progressive, basal-predominant ground-glass and consolidative opacities. Alveolar damage and secretion pooling contribute to the atypical basal predominance over time.
Key takeaways
Although Pneumocystis jirovecii pneumonia classically begins with apical or perihilar ground-glass opacities, it can present with or progress to basal-predominant consolidation, especially as secondary secretions pool.
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