15 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
• CD4 < 200: PCP ... +/- High res CT ... chest scan), CBC ... Fungal, AFB), TB PCR ... sputum, PCP DFA
A 50 yo F with a history of poor dentition presents to the ED with fever
already seen her PCP ... A CXR is done. ... Diagnosis: Cavitary ... lung abscess #Clinical ... #Radiology #CXR
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign on Chest ... thus important to diagnose ... Devpriyo Pal @drdevrad ... #XRay #CXR #clinical ... #radiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... Differential Diagnosis ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
Pneumoperitoneum vs Pseudo-Pneumoperitoneum aka Chilaiditi Sign
It mimics pneumoperitoneum and it is thus important to diagnose it
thus important to diagnose ... Devpriyo Pal @drdevrad ... Chilaiditi #Sign #clinical ... #radiology #cxr ... #xray #chest
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... lesions than the chest ... can suggest the diagnosis ... #Clinical #Radiology ... #CXR #CTChest #
On the left an immunocompromised patient with PCP.
The CT findings are diffuse ground-glass opacification.
The findings are
The CT findings ... not specific for PCP ... setting PCP is ... the most likely diagnosis ... #Clinical #Radiology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... Blood cultures • CXR ... early disease) • CXR ... CT Lung Abscess ... Clindamycin in case of PCN
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
Calcification (seen in CT ... Devpriyo Pal @drdevrad ... Fibrosis #Silicosis #clinical ... #radiology #CXR ... #Chest #XRay #labeled
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... The differential diagnosis ... the most likely diagnosis ... #Clinical #PCC # ... Radiology #CXR #