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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
loss, lethargy, fever ... • Fever, weight ... be normal • Fever ... Abdominal pain, chronic ... Infections #HIV #AIDS #pulmonary
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
left a case of chronic ... with low-grade fever ... #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 ... POCUS: Dynamic air ... #CXR #Comparison ... Clinical #Lung #Pulmonary
Air Bronchograms in Pneumonia on Lung Ultrasound

Pearl: When lung looks like liver, it's never a good
in Pneumonia on ... , it's never a good ... CXR in video for comparison ... Ultrasound #clinical #pocus ... #Pulmonary
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... Notice the air-bronchogram ... list of causes of chronic ... #Clinical #Radiology ... #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
pneumonia with ... 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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
attenuation or air-filled ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
HRCT findings in Chronic eosinophilic pneumonia
Peripheral consolidations with upper lobe predominance (photo negative of pulmonary edema).
On
HRCT findings in Chronic ... photo negative of pulmonary ... #Clinical #Radiology ... #CTChest #Chronic ... #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