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Fig. 7. —Lung nodules due to bacillary angiomatosis in 38-year-old HIV-positive man who presented with skin lesions and had HIV risk factor of IV drug abuse. CT scan (lung window setting) obtained at level of mainstem bronchi shows numerous scattered lung nodules (arrows), which are randomly distributed. Several nodules abut pleural surfaces (contrast appearance with centrilobular nodules in Figure 8 that spare pleural surfaces). Random distribution of nodules can be seen in hematogenous spread of infection or neoplasm. Note bilateral pleural effusions. (Courtesy of White C, Baltimore, MD)