Case 265

Medical History

A 43-year-old male patient started coughing with dark secretion for 15 days, associated with ventilator-dependent chest pain and dyspnea. He evolved with adynamia, prostration, hyporexia and fever (non-thermometer), leading him to seek hospital care. He has been alcoholic and smoker for 24 years. Sputum test resulted negative for BAAR. Empirical antibiotic therapy was prescribed and the patient reached hospital discharge conditions, with good clinical, radiological and laboratory response.

Based on clinical data and images, what is the most likely diagnostic hypothesis?

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