Diagnosis anyone?

First, what is the diagnosis in the x-ray above? Older physicians have a decided advantage as there are now only approx. 250 cases of this annually in the U.S. Younger physicians will know this if they have been reading. This was my first case of diagnosing and treating this entity. It's miliary TB, the patient has concommitant AIDS (approx 6.7% of the Kenyan population has HIV/AIDS, though this estimate is probably low. In addition there are 550,000 "AIDS orphans" and 78,000 children living with HIV/AIDS).

The photo below the x-ray is the "Respiratory Isolation" room where that patient is housed. Does anyone else see the problem with this picture, which I took from the common passage-way? Not only is there a gap above the door, but there is a vent which passes the air into the hall. I have a sneaking suspicion that nine months of INH is in my future.