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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 ... the ascending aorta ... 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
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
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
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
19 Patterns of Lung ... Findings on Chest CT ... Organizing Pneumonia ... #Pulmonary #ChestCT ... #radiology #CTChest
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
infiltrate (e.g., CXR, CT ... , ultrasound) - ... Inflammation (e.g., fever ... chest pain) and signs ... #Pneumonia #Venn
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
Air Bronchograms in Pneumonia on Lung Ultrasound

Pearl: When lung looks like liver, it's never a good
on Lung Ultrasound ... , it's never a good ... #Lung #Ultrasound ... #clinical #pocus ... #Pulmonary
Based on the images alone, it is usually not possible to determine the cause of the
Lobar pneumonia ... with cough and fever ... Organizing pneumonia ... nodular interstitial lung ... #Radiology #CXR