Cornalba G P, Mariani P, Colombo E, Bianco R, Vona S
Servizio di Radiodiagnostica, Ospedale Luigi Sacco, Milano.
Radiol Med. 1994 Jun;87(6):763-7.
To assess the prevalence of atypical PCP patterns in AIDS patients, the chest films of 300 patients with clinical and laboratory diagnosis of PCP were reviewed. We considered as atypical patterns the finding of an asymmetric lesion, the involvement of apical regions, pleural effusion, hilar and/or mediastinal lymphadenopathy, parenchymal nodules and pneumatoceles. In some patients more than one of these patterns was found. Atypical patterns were observed in 32% of cases and consisted of: unilateral involvement in 11% of cases, apical involvement in 6%, pleural effusion in 9%, hilar and/or mediastinal lymph nodes in 4%, parenchymal nodules in 6% and finally pneumatocele in 12% of cases.
为评估艾滋病患者中非典型卡氏肺孢子虫肺炎（PCP）模式的患病率，我们回顾了300例经临床和实验室诊断为PCP患者的胸部X光片。我们将不对称病变、肺尖区域受累、胸腔积液、肺门和/或纵隔淋巴结肿大、实质结节和气囊肿等表现视为非典型模式。部分患者存在不止一种上述模式。32%的病例观察到非典型模式，包括：11%的病例为单侧受累，6%为肺尖受累，9%为胸腔积液，4%为肺门和/或纵隔淋巴结肿大，6%为实质结节，最后12%的病例为气囊肿。
