Cryptococcal meningitis was diagnosed in a 29-year-old, previously healthy Hispanic man at an outside hospital, and he recovered clinically after starting a course of fluconazole. All testing for immunosuppressive conditions returned negative (HIV negative; CD4 count, 502 cells/μL). He had no recent travel history or sick contacts and was not a smoker. Pulmonary tuberculosis was diagnosed following a purified protein derivative skin test, and a triple-drug regimen was started although sputum culture findings were negative for acid-fast bacilli. Chest radiography showed an area of rounded consolidation (Fig 1
, white arrow) within the right lower lobe anteriorly and along the diaphragm that was thought to represent pneumonia or round atelectasis.