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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 ... fever, cough and cavitary
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... findings of NSIP, UIP ... #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 ... feeding vessel sign ... #Clinical #Radiology ... #SepticEmboli #Cavity ... #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
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 ... #RadiologyAssistant
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
the consolidated lung ... pus is coughed up ... , a cavity can be ... #Clinical #Radiology ... #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
changes in the basal lung ... #Clinical #Radiology ... #Interstitial #Pneumonitis ... #Reticular #ILD ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Hypersensitivity Pneumonitis ... throughout the whole lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial pneumonia ... Hamman Rich Pneumonitis ... rare idiopathic lung ... #Clinical #Radiology ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
these non-specific CT ... patient was coughing up ... hypersensitivity pneumonitis ... #Clinical #Radiology ... #RadiologyAssistant