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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... : • Chest pain
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... anteriorly in the left lung ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... Inflammation (e.g., fever ... pain) and signs
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
19 Patterns of Lung ... Findings on Chest ... CT 1. ... Reverse Halo Sign ... Organizing Pneumonia
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... Feeding #Vessel #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... CT • SPN or mass ... .2016.12.033 #Halo #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
example of 'shred sign ... a patient with fever ... on CXR/CT imaging ... #photo #ultrasound ... #lung #pulmonary
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Hypertension on Chest ... CT • Main PA ... midline at the level ... #cardiology #diagnosis
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... On the chest x-ray ... weight loss or long ... #Clinical #Radiology ... #CXR #AirBronchogram
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Red Flags: • Fever ... Dyspnea (underlying lung ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT