284Lu ARDS Adult Respiratory Distress Syndrome 35 year old man with HIV, and Fournier gangrene presents with ongoing respiratory distress ARDS Adult respiratory Distress Syndrome ARDS Adult respiratory Distress SyndromeFrontal CXR of a 35 year old man with HIV, and Fournier gangrene presents with ongoing respiratory distressThe image reveals diffuse bilateral multifocal pneumonic infiltrates involving upper and lower lungs bilaterallyAshley Davidoff MD TheCommonVein.net 284 Lu 136502 Coronal CT ARDS Adult Respiratory Distress Syndrome35 year old man with HIV, and Fournier gangrene presents with ongoing respiratory distressCoronal CT at the level of the spine posteriorly, reveals diffuse bilateral multifocal pneumonic infiltrates (pneumonia) involving upper and lower lungs bilaterally. The infiltrates have a combination of both ground glass and consolidationsBilateral pleural effusions are present. Thickening of the interlobular septa. Bilateral loculated effusions surround both lungsAshley Davidoff MD TheCommonVein.net 284 Lu 136506 ARDS Adult Respiratory Distress Syndrome35 year old man with HIV, and Fournier gangrene presents with ongoing respiratory distressCoronal CT at the level of the left ventricle reveals diffuse bilateral multifocal pneumonic infiltrates (pneumonia) involving upper lungs bilaterally. The infiltrates have a combination of both ground glass and consolidationsBilateral pleural effusions are presentAshley Davidoff MD TheCommonVein.net 284 Lu 136505 ARDS Adult Respiratory Distress Syndrome35 year old man with HIV, and Fournier gangrene presents with ongoing respiratory distressAxial CT at the level of the carina reveals diffuse bilateral multifocal pneumonic infiltrates (pneumonia) involving upper lungs bilaterally. The infiltrates have a combination of both ground glass and consolidationsBilateral pleural effusions are presentAshley Davidoff MD TheCommonVein.net 284 Lu 136504 ARDS Adult Respiratory Distress Syndrome35 year old man with HIV, and Fournier gangrene presents with ongoing respiratory distressAxial CT at the level of the carina reveals diffuse bilateral multifocal pneumonic infiltrates (pneumonia) involving upper lungs bilaterally. The infiltrates have a combination of both ground glass and consolidationsBilateral pleural effusions are presentAshley Davidoff MD TheCommonVein.net 284 Lu 136504