患者，女，30岁。5天前淋雨 后畏寒、发热、胸痛、咳嗽、 气短，既往有结核病史。査 体：左肺下部叩浊音，可闻水 泡音。痰结核菌集菌阴性，A 细胞32X10VL。X线胸片示: 左肺下叶大片状致密阴影。考 虑诊断为

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