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CT of Bronchopericardial Fistula

An Unusual Complication of Multidrug-Resistant Tuberculosis in HIV Infection

Jeffrey A. Bennett1 and Linda B. Haramati

1 Both authors: Department of Radiology, Albert Einstein College of Medicine and Montefiore Medical Center, 111 E. 210th St., Bronx, NY 10467.



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  		Fig. 1A. —30-year-old woman with HIV infection. Anteroposterior chest radiograph shows large pneumopericardium. Pericardium is thickened. Note septations in pericardial space.

 


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  		Fig. 1B. —30-year-old woman with HIV infection. Chest CT scan reveals pneumopericardium with septations within pericardial space. Pericardium is nodular and thickened. Note numerous ill-defined centrilobular nodules in lung parenchyma.

 


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  		Fig. 1C. —30-year-old woman with HIV infection. CT scan (5-mm-thick section through upper lungs) shows focal area of consolidation in left upper lobe. Note bronchopericardial fistula (arrow).

 

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