CXR Case 048

A 22 year old female presents with fevers and breathlessness

CXR CASE 048 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is increased opacification throughout the left hemithorax with loss of the left heart outline although the left hemidiaphragm remains visible.

Air bronchograms are visible suggesting consolidation.


CLINICAL CORRELATION

This is left upper lobe (including left lingula) pneumonia.

*The sputum was positive for acid fast bacilli – confirming acute tuberculosis. Subsequent HIV test was positive.


CLINICAL PEARLS

Most upper lobe pneumonia’s are not TB, however, this lady was from South Africa – making this diagnosis more likely.


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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