Primary Pulmonary AIDS-Related Lymphoma (PPL)

A 39yrs.-old transgender male- female patient presented with unexplained weight loss and oropharyngeal candida infection and was diagnosed with HIV with a CD4- count of 11/µl. Further workup included an abdominal ultrasound which revealed a pleural-based, hypervascularized pulmonary mass of 36 × 21 mm in the left dorsal lobe. This had initially been missed on chest x-ray but was detected there as well on reevaluation of the exam and on the subsequently performed CT-scan. A transthoracic needle biopsy of this lesion was performed showing infiltration of a diffuse-high grade large B-cell non-Hodgkin lymphoma (NHL)…