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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
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
The CT-image shows a large pericardial effusion.
Always compare these post-operative chest films with the pre-operative ones.
The CT-image shows ... large pericardial effusion ... #Clinical #Radiology ... #CTS #CTChest # ... PericardialEffusion #RadiologyAssistant
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... infiltrate (e.g., CXR, CT ... , ultrasound) - ... Inflammation (e.g., fever ... #Pneumonia #Venn
HRCT findings in Chronic eosinophilic pneumonia
Peripheral consolidations with upper lobe predominance (photo negative of pulmonary edema).
On
Chronic eosinophilic pneumonia ... contrast enhanced CT ... #Clinical #Radiology ... #CTChest #Chronic ... #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 ... #Radiology #CXR ... Consolidation #Causes #RadiologyAssistant
Pericardial effusion
Whenever we encounter a large heart figure, we should always be aware of the possibility
On the chest x-ray ... heart while on the CT ... #Clinical #Radiology ... #CXR #CTChest # ... PericardialEffusion #RadiologyAssistant
On the left an immunocompromised patient with PCP.
The CT findings are diffuse ground-glass opacification.
The findings are
The CT findings ... #Clinical #Radiology ... #CTChest #PJP # ... Pneumocystis #Pneumonia ... #RadiologyAssistant