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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
in HIV - Differential ... • Pleuritic chest ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... : • Chest pain
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 ... detected on a chest ... #RadiologyAssistant
Lung Ultrasound for Diagnosing Pneumonia - Scan through 6 zones (3 per side) 1. Midclavicular line
Lung Ultrasound ... on the anterior chest ... the posterior chest ... Peds #EM #PICU #POCUS ... #Lung #Pneumonia
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... Extensive pneumonia ... POCUS: Dynamic air ... Comparison #Clinical #Lung
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 ... weight loss or long ... an acute lobar pneumonia ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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- Emphysema - Lung ... cysts (LAM, LIP ... Radiology #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... cyst in the upper ... something to do with a cystic ... leading to pulmonary cyst ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Hypersensitivity Pneumonia ... Antitripsyn Def • Cysts ... HiRes #HighRes #Chest
Cystic lung disease
Lung cysts are defined as radiolucent areas with a wall thickness of less than
Cystic lung disease ... Lung cysts are ... Cystic lung diseases ... #Differential # ... RadiologyAssistant
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
Necessitans (EN) on Chest ... was admitted for pneumonia ... erodes into the chest ... fluid into the chest ... #Lung