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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 ... : • (Fever, weight
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... anteriorly in the left lung ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... is interstitial pneumonia ... PCP Mycoplasma pneumonia ... cough and some fever ... #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
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
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 ... Reverse Halo Sign ... Organizing Pneumonia ... Pulmonary #ChestCT #radiology
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
B-Lines in case of Pneumonia ... healthy pt with fever ... 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
Bronchograms in Pneumonia ... on Lung Ultrasound ... , it's never a good ... #Lung #Ultrasound ... #clinical #pocus
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