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Cryptococcal Pneumonia in an Immunocompetent Patient

Rivka R. Colen1, Amad Eldin Singer and Theresa C. McLoud

1 All authors: Department of Radiology, Massachusetts General Hospital, 55 Fruit St., FND Bldg. 2, Boston, MA 02114.


Figure 1
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  		Fig. 1A —89-year-old man with cryptococcal pneumonia. Frontal (A) and lateral (B) radiographs of chest show large air-space opacity in basal segments of left lower lobe. Incidental note is also made of partial collapse of right middle lobe. Otherwise, remainder of radiograph is unremarkable.

 

Figure 2
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  		Fig. 1B —89-year-old man with cryptococcal pneumonia. Frontal (A) and lateral (B) radiographs of chest show large air-space opacity in basal segments of left lower lobe. Incidental note is also made of partial collapse of right middle lobe. Otherwise, remainder of radiograph is unremarkable.

 

Figure 3
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  		Fig. 1C —89-year-old man with cryptococcal pneumonia. Axial slice of contrast-enhanced CT scan of chest at level of lower lobes reveals large oval, irregular, and ill-defined mass in posterior left lower lobe abutting pleura. There is no evidence of lymphadenopathy.

 

Figure 4
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  		Fig. 1D —89-year-old man with cryptococcal pneumonia. Abundant fungal yeasts with mucinous capsules that stained strongly positive are seen in mucicarmine stain from CT-guided percutaneous transthoracic lung biopsy. (x10)

 

Figure 5
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  		Fig. 1E —89-year-old man with cryptococcal pneumonia. Silver methenamine stain from CT-guided percutaneous transthoracic lung biopsy reveals yeast forms with no evidence of budding. (x10)

 

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