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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... • CT: Halo sign ... : • Chest pain ... cavitary infiltrates ... , pleural effusion
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... On the CT cavitation ... #Clinical #Radiology ... #CXR #CTChest # ... #SepticEmboli #Cavity
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... if this patient had ... weight loss or long ... #Clinical #Radiology ... #CXR #AirBronchogram
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
the consolidated lung ... the cavity. ... #Clinical #Radiology ... #CXR #CTChest # ... Cavity #Pneumonia
Split Pleura Sign on Chest CT
 • Contrast enhancement of the parietal and visceral pleura, separated
CT • Contrast ... of the parietal and ... #Pleura #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Radiology • Miliary ... throughout the lungs ... rarely typical pneumonia ... #Radiology #differential ... #clinical #CT
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... CT angiography. ... #photo #CXR #EmergencyMedicine ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the lung will lie ... pericardial fat or effusion ... x-rays and should ... #Clinical #Radiology ... #CXR #Lateral #
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
with fever, cough and ... This POCUS finding ... on CXR/CT imaging ... #clinical #photo ... #ultrasound #lung
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... fibrosis (CF) and ... CT demonstrated ... #Clinical #Radiology ... #CXR #CTChest #