CXR Case 004

A 60 yo man is intubated in ED having presented by ambulance profoundly hypoxaemic in respiratory distress

CXR CASE 004 LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is consolidation throughout the right side, sparing the periphery.

There is also an air bronchogram behind the heart.
This is most likely a pneumonia.

*Note the ETT and left subclavian line*


CLINICAL CORRELATION

The sparing of the lung periphery is unusual but does not necessarily mean this is caused by an atypical organism.

Atypical’ pneumonia accounts for about 20% of all pneumonia so they are not very atypical!


CLINICAL PEARLS

Consolidation does not always mean infection; it describes an airways infiltrate which is usually inflammatory or rarely blood.


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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