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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... : • Chest pain
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... PCP Mycoplasma pneumonia ... cough and some fever ... #Clinical #Radiology ... #PJP #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... On the chest x-ray ... an acute lobar pneumonia ... #Clinical #Radiology ... #RadiologyAssistant
Signs of Pulmonary Hypertension on Chest CT
 • Main PA is dilated and larger than the
Signs of Pulmonary ... Hypertension on Chest ... Carina crossover sign ... midline at the level ... ChestCT #CTChest #Radiology
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 ... EosinophilicPneumonia #RadiologyAssistant
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... e.g., CXR, CT, ultrasound ... Inflammation (e.g., fever ... pain) and signs ... #Pneumonia #Venn
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... on Chest X-Ray Anterior ... hemidiaphragm and the liver ... #Chest #XRay #CXR ... #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 ... Reverse Halo Sign ... Halo Sign 6. ... Organizing Pneumonia ... Pulmonary #ChestCT #radiology
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
left we see a chest ... #Clinical #Radiology ... FingerInGlove #Sign ... #RadiologyAssistant