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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... • CT: Halo sign ... : • Chest pain ... cavitary infiltrates ... Infections #HIV #AIDS #pulmonary
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
Cavitary Lesion ... pleuritic chest ... #Cavitary #CXR ... #ChestXRay #Clinical ... #Pulmonary #Radiology
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... AirBronchogram #POCUS #CXR ... #Comparison #Clinical ... #Lung #Pulmonary ... #Clinical
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest # ... #SepticEmboli #Cavity
Monod Sign on Chest CT
 • Air surrounding a fungal ball in a preexisting pulmonary cavity
CT • Air surrounding ... cavity • DDx: ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... if this patient had ... weight loss or long ... #Clinical #Radiology ... #CXR #AirBronchogram
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
the consolidated lung ... the cavity. ... #Clinical #Radiology ... #CXR #CTChest # ... Cavity #Pneumonia
HRCT findings in Chronic eosinophilic pneumonia
Peripheral consolidations with upper lobe predominance (photo negative of pulmonary edema).
On
predominance (photo ... negative of pulmonary ... contrast enhanced CT ... #Clinical #Radiology ... #CTChest #Chronic
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
throughout the lungs ... rarely typical pneumonia ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
with fever, cough and ... on CXR/CT imaging ... #clinical #photo ... #ultrasound #lung ... #pulmonary