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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
loss, lethargy, fever ... • CT: Halo sign ... • Fever, weight ... be normal • Fever ... , pleural effusion
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 another patient with a large cardiac silhouette on the chest x-ray due to
silhouette on the chest ... on the coronal CT-reconstruction ... #Clinical #Radiology ... #CXR #CTChest # ... PericardialEffusion #RadiologyAssistant
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... lady with chest ... Never, ever write ... ECG #EKG #STEMI #Clinical ... Electrocardiogram #Cardiology
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... there is an ill-defined ... weight loss or long ... #Clinical #Radiology ... #RadiologyAssistant
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 #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
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Clinical manifestations ... cough, dyspnea, fever ... Rare: pleural effusions ... Treatment: • Mild ... BOOP #pulmonary #ILD
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
of organizing pneumonia ... #Clinical #Radiology ... #CTChest #COP # ... RheumatoidArthritis #ILD ... #RadiologyAssistant