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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 ... Infections #HIV #AIDS #pulmonary
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Hypertension on Chest ... CT • Main PA ... ChestCT #CTChest #Radiology ... #cardiology #diagnosis
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... on Chest CT • ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... CT • SPN or mass ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
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 ... pain) and signs
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
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
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
a patient with fever ... on CXR/CT imaging ... #pneumonia #clinical ... #photo #ultrasound ... #lung #pulmonary
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... sliding: Pulmonary ... partially seen shred sign ... #Lung #POCUS #clinical ... #ultrasound
Monod Sign on Chest CT
 • Air surrounding a fungal ball in a preexisting pulmonary cavity
Monod Sign on Chest ... CT • Air surrounding ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical