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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
: • 3 syndromes ... • CT: Halo sign ... Exam: Can be normal ... factor • May cause ... Infections #HIV #AIDS #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura reflection) Pneumonia ... pleura in severe cases ... bilateral B-lines - Normal ... Respiratory Distress Syndrome ... unilateral B-lines - Normal
Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Annotated on Chest CT ... radiopaedia.org/cases ... Segments #Chest #CT ... #CTChest #pulmonary ... #clinical #radiology
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
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 ... caused by Sterptococcus ... pneumoniae. ... #Clinical #Radiology
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
hilus is in a normal ... In the proper clinical ... weight loss or long ... caused by Streptcoccus ... #Clinical #Radiology
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 ... Organizing Pneumonia ... #Pulmonary #ChestCT ... #radiology #CTChest
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... – ARDS: Clinical ... be detected on CT ... the underlying cause ... oxygenation in pneumonia
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Unknown • 6-7 cases ... - Clinical manifestations ... , Pulmonary lymphoma ... • Moderate: oral ... ILD #diagnosis #management