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an infectious pneumonia, although acute lung transplant rejection can present in a similar fashion. Heart failure (often secondary to cardiac toxicity from chemotherapeutic agents), pulmonary dissemination of the underlying malignancy, and hemorrhage into the pulmonary parenchyma are other causes of infiltrates that can closely mimic infectious etiologies. In many circumstances, an interstitial inflammatory process can be proved histologically, but no definite cause can be identified. These cases often are diagnosed as nonspecific interstitial pneumonitis, with the realization that neither the pathology nor the clinical history provides a specific etiologic diagnosis.

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