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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 ... Infections #HIV #AIDS #pulmonary ... differential #diagnosis #infectiousdiseases
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... consolidation due to a pneumonia ... 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 ... cough and some fever ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... #Pneumonia #PJP
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
Radiographic Features of Pulmonary ... Diseases - Pneumonia ... Emphysema - Pulmonary ... #Diseases #Radiology ... Patterns #Lung #CXR
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... infiltrate (e.g., CXR ... Inflammation (e.g., fever ... chest pain) and signs ... #Pneumonia #Venn
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Carina crossover sign ... midline at the level ... @PulmPEEPs #Pulmonary ... ChestCT #CTChest #Radiology
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
of organizing pneumonia ... cough, dyspnea, fever ... - Imaging: • CXR ... , Pulmonary lymphoma ... #COP #BOOP #pulmonary
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
diagnosis is lobar pneumonia ... #Diagnosis #Radiology ... #Pulmonary #CXR
Based on the images alone, it is usually not possible to determine the cause of the
Lobar pneumonia ... Pulmonary hemorrhage ... with low oxygen level ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
aka Pawnbroker's Sign ... #Chest #XRay #CXR ... #Pawnbrokers #Sign ... #clinical #radiology ... #pulmonary #sarcoidosis