患者，男性，57岁。既往糖尿病病史，因 左肺癌行放射治疗。放疗30天患者出现乏 力、干咳、低热并气急症状。左肺底可闻 及湿啰音。查血白细胞4x109/L,中性粒 细胞0.71，胸片提示左肺弥漫性片状模糊 浸润阴影。最可能的诊断是

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