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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Pseudomonas FUNGAL PNEUMONIAS ... • CT: Halo sign ... : • Risk: Can ... - 20% of pneumonias ... HIV PARASITIC PNEUMONIAS
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
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 ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
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 ... CT 1. ... Reverse Halo Sign ... Organizing Pneumonia ... Pulmonary #ChestCT #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
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
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis ... : ill defined centrilobular ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... #Clinical #Radiology ... #CTChest #UIP # ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... there is an ill-defined ... weight loss or long ... #Clinical #Radiology ... #RadiologyAssistant