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Varicella Pneumonia

 

  • Findings: multiple, small punctate calcifications throughout both lungs. Miliary TB classically does not heal with calcification of the granulomas. The lesions in miliary TB are also usually much smaller than these lesions. Mitral hemosiderosis occurs primarily at the lungs bases and is, of course, associated with mitral valve disease which this patient does not have. Staph pneumonia characteristically gives airspace disease with an effusion.

  • Occurs most often over the age of 19 rather than in childhood

  • Patchy, diffuse air space consolidation

  • Tendency to coalesce near hila

  • Widespread nodules can occur (30%)

  • Tiny calcifications remain in 2% (DDX is histoplasmosis, alveolar microlithiasis)

  • 11% mortality rate

 

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