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Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... Pseudomonas FUNGAL PNEUMONIAS ... • CT: Halo sign ... : • Risk: Can ... - 20% of pneumonias
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
other interstitial pneumonias ... - Clinical manifestations ... - Diagnosis: ... Idiopathic interstitial pneumonia ... BOOP #pulmonary #ILD
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
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... Hypersensitivity pneumonitis ... Pulmonary edema #Diagnosis ... #Radiology #Pulmonary
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... responses of the lung ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
x-ray there is an ill-defined ... In the proper clinical ... weight loss or long ... #Clinical #Radiology ... #RadiologyAssistant
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
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 ... Findings on Chest CT ... Organizing Pneumonia ... Pulmonary #ChestCT #radiology ... #CTChest #diagnosis
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