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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... : • Chest pain ... Infections #HIV #AIDS #pulmonary
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... midline at the level ... @PulmPEEPs #Pulmonary ... PHTN #ChestCT #CTChest ... #Radiology #cardiology
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... e.g., CXR, CT, ultrasound ... Inflammation (e.g., fever ... procalcitonin) - Pulmonary ... #Pneumonia #Venn
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
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
Lung Findings on Chest ... Organizing Pneumonia ... Patterns #Lung #Pulmonary ... #ChestCT #radiology ... #CTChest #diagnosis
Eosinophilic Pneumonia
When to suspect Eosinophilic Pneumonia? Non-resolving pneumonia + BAL > 25% eosinophils + excluded more
Eosinophilic Pneumonia ... tobacco hx - Fever ... Dyspnea+, Pleuritic Chest ... Consolidations AKA "inverse pulmonary ... #diagnosis #pulmonary
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
chronic eosinophilic pneumonia ... with low-grade fever ... and an abnormal chest ... #Clinical #Radiology ... #CTChest #Eosinophilic
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Cryptogenic Organizing Pneumonia ... of organizing pneumonia ... cough, dyspnea, fever ... , Pulmonary lymphoma ... #COP #BOOP #pulmonary
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... Lobar pneumonia ... Pulmonary hemorrhage ... with low oxygen level ... Clinical #Diagnosis #Radiology
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
and cardiogenic pulmonary ... cryptogenic organizing pneumonia ... chronic eosinophilic pneumonia ... #Diagnosis #Radiology ... #Pulmonary #HRCT