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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
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... : Pleuritic chest ... level seen • Chest ... CT Lung Abscess ... treatment until the chest
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT ... #Algorithm #causes
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... In the proper clinical ... weight loss or long ... #Clinical #Radiology ... #CXR #AirBronchogram
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... can suggest the diagnosis ... The chest film shows ... densities iin the left lung ... #CXR #CTChest #
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... throughout the lungs ... Miliary #Pattern #Chest ... #pulmonary #CXR ... #clinical #CT
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... - Differential Diagnosis ... • Interstitial lung ... Malformation • Severe Pneumonia ... Abnormalities • Chest
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... On a Chest X-Ray ... is interstitial lung ... detected on a chest
Chest CT of COVID-19 Patient requiring ECMO
2nd patient COVID 19 with need of ECMO. They both
Chest CT of COVID ... (Yes, this is lung ... COVID19 #ECMO #Clinical ... #SARSCOV2 #Coronavirus ... #Lungs
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... disease. ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax