Background: A remarkable cluster of Pneumocystis carinii pneumonia and Kaposi's sarcoma male cases with history of homosexuality first described in 1981, since that period fundamental improvement in understanding this acquired immune deficiency syndrome (AIDS) have been carried out [1].Aim: The aim of this study was to evaluate the pulmonary complications in patients with HIV. Patients and Methods: A descriptive study conducted on 200 seropositive HIV adult patients screened for chest problems; 76 patients of them were included, and then TB infection has been excluded in 53 patients (70%). Results: Acute bronchitis (36%), community acquired pneumonia (CAP) (24%), chronic obstructive airway diseases (15%) and infective endocarditis (8%) in addition to malignancy were the manifested complications in those patients. Conclusion: HIV patients with advanced immune suppression are vulnerable group for chest complications from acute bronchitis to malignancy.