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A clinical improvement was observed after treatment with ganciclovir. Discussion The most frequent causes of solid unilateral lesions in AG in patients without HIV infection are benign lesions such as adenomas, primary malignancy tumors and metastases of lung neoplasia. AG infections secondary to CMV typically occur HIV-infected patients and with bilateral involvement. The presence of an adenoma in left AG could have caused a false-positive in initial PET, but after ganciclovir treatment, no abnormal metabolic activity was detected in c
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