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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... : • Chest pain ... , pleural effusion
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
anteriorly in the left lung ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... In the proper clinical ... weight loss or long ... #Clinical #Radiology ... #RadiologyAssistant
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
Pulmonary Diseases - Pneumonia ... Pneumothorax - Effusion ... Radiology #Patterns #Lung ... #CXR #XRay #ChestCT
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
of interstitial lung ... - Clinical manifestations ... Rare: pleural effusions ... Diagnosis: • Lung ... TBNA or Surgical lung
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
- Viral pneumonia ... Aspergillosis PLEURAL EFFUSION ... - Bacterial pneumonia ... Patterns #Pulmonary #Lung ... Differential #Diagnosis #Chest
PseudoARDS-Effusion Pattern

PseudoARDS-effusion refers to a patient with bilateral infiltrates who seems to have ARDS, but whose
admixture of true lung ... (e.g. small pneumonia ... a semi-supine chest ... #Diagnosis #Clinical ... #ChestCT #PseudoARDS
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Algorithm Ventilation/perfusion ... Parenchymal Disease Diffusion ... • Interstitial lung ... Malformation • Severe Pneumonia ... Abnormalities • Chest
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
., NHL; Lung cancer ... disease • Pleural effusion ... Parapneumonic effusion ... (NHL, primary effusion ... differential #diagnosis #chestCT
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the lung will lie ... inferior part of the lung ... pericardial fat or effusion ... #Clinical #Radiology ... Cardiac #Incisura #RadiologyAssistant