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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... • Pleuritic chest ... • CT: Halo sign ... : • Chest pain ... #differential #diagnosis
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
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
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... an ill-defined area ... weight loss or long ... #Clinical #Radiology ... #CXR #AirBronchogram
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
Findings on Chest ... CT 1. ... Organizing Pneumonia ... Pulmonary #ChestCT #radiology ... #CTChest #diagnosis
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR ... , CT, ultrasound ... Inflammation (e.g., fever ... pain) and signs
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine ... left chest. ... Diagnosis? ... large sub-pleural area ... Sign #clinical #
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Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
a patient with fever ... This POCUS finding ... on CXR/CT imaging ... #pneumonia #clinical ... photo #ultrasound #lung
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Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... lesions than the chest ... can suggest the diagnosis ... #Clinical #Radiology ... #CXR #CTChest #
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
on Chest X-Ray Anterior ... hemidiaphragm and the liver ... thus important to diagnose ... #Chest #XRay #CXR ... #clinical #radiology