A 60 yo man is intubated in ED having presented by ambulance profoundly hypoxaemic in respiratory distress
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*
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!
Consolidation does not always mean infection; it describes an airways infiltrate which is usually inflammatory or rarely blood.