text: Yo, check it out, listen up, here's the news,
  Extrapulmonary Pneumocystis infection ain't just for the lungs, it's breakin' the rules.
  In patients with AIDS, it's on the rise,
  Especially with aerosolized pentamidine, no surprise.
  
  This report tells a tale, it's quite bizarre,
  A 37-year-old man, AIDS and hemophilia, a real star.
  Extrapulmonary Pneumocystis infection made a bold move,
  As a thyroid neck mass and hypothyroidism, it proved.
  
  This ain't like the cases we've seen before,
  Isolated thyroid pneumocystosis knockin' at the door.
  A rapidly enlarging neck mass, it came outta the blue,
  No previous Pneumocystis, and pentamidine prophylaxis too.
  
  Pathologic descriptions and electron microscopy,
  Flocculent necrotic thyroid material, it's a sight to see.
  Contrasted with typical findings in the lungs, PCP they say,
  Differential diagnoses of a neck mass, we gotta find our way.
  
  Diagnosing hypothyroidism in AIDS ain't easy, you know,
  It's a challenge, it's a struggle, we gotta let it show.
  Aerosolized pentamidine, it's been a savior for the lungs,
  But for extrapulmonary infection, it might not be enough, son.
  
  So take heed, pay attention, let this be a lesson,
  Extrapulmonary Pneumocystis infection, it's a new aggression.
  In patients with AIDS, we gotta stay on guard,
  Keep fighting, keep learning, that's the path forward, hard.