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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
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Annotated on Chest ... CT Right Lung: ... lobes #Segments #Chest ... #CT #CTChest #pulmonary ... #clinical #radiology
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 ... production, pleuritic chest
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 ... #Clinical #Radiology ... #CXR #AirBronchogram ... #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... cough and some fever ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... The chest film shows ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Vessel Sign on Chest ... CT • Distinct ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
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 ... young people with chest ... ECG #EKG #STEMI #Clinical
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
Findings on Chest ... CT 1. ... Organizing Pneumonia ... #Pulmonary #ChestCT ... #radiology #CTChest
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... CT • SPN or mass ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical