44 results
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
loss, lethargy, fever ... • Fever, weight ... be normal • Fever ... : • (Fever, weight ... Infections #HIV #AIDS #pulmonary
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... PCP Mycoplasma pneumonia ... cough and some fever ... #Clinical #Radiology ... #PJP #RadiologyAssistant
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
with low-grade fever ... and an abnormal chest ... #Clinical #Radiology ... #CTChest #Eosinophilic ... #RadiologyAssistant
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... Extensive pneumonia ... #CXR #Comparison ... Clinical #Lung #Pulmonary
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Chronic eosinophilic pneumonia ... consolidation #Clinical #Radiology ... #HRCT #CTChest ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... Lobar pneumonia ... with cough and fever ... Clinical #Diagnosis #Radiology ... Consolidation #Causes #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Cryptogenic organizing pneumonia ... #Clinical #Radiology ... #HRCT #CTChest ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
initiation of smoking; Fever ... brown sputum, fever ... Travel hx, food hx; Fever ... Lung #Diseases #pulmonary ... differential #diagnosis #comparison
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
#Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
Eosinophilic Pneumonia ... tobacco hx - Fever ... Dyspnea+, Pleuritic Chest ... Consolidations AKA "inverse pulmonary ... #diagnosis #pulmonary