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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
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
evidence of a chest ... infiltrate (e.g., CXR ... Inflammation (e.g., fever ... production, pleuritic chest ... #Pneumonia #Venn
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... AirBronchogram #POCUS #CXR ... #Comparison #Clinical ... #Lung #Pulmonary ... #Clinical
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
with Air-Fluid Level ... on Chest XRay ... latent TB s/p treatment ... and pleuritic chest ... #Pulmonary #Radiology
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 ... In the proper clinical ... #Clinical #Radiology ... #CXR #AirBronchogram
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
Garland Triad on Chest ... Garland #Triad #Chest ... #XRay #CXR #Pawnbrokers ... #Sign #clinical ... #radiology #pulmonary
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
with low-grade fever ... and an abnormal chest ... respond promptly to treatment ... #Clinical #Radiology ... #CTChest #Eosinophilic
Bronchopneumonia Consolidation Pattern on Chest X-Ray

Patchy areas of consolidation that may be initially limited to one
Consolidation Pattern on Chest ... to one or more pulmonary ... Consolidation #Pattern #Chest ... #XRay #CXR #clinical ... #radiology
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... between these chest ... Lobar pneumonia ... Organizing pneumonia ... #Radiology #CXR
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... rarely typical pneumonia ... Miliary #Pattern #Chest ... #diagnosis #pulmonary ... #CXR #clinical