A 22 year old female presents with fevers and breathlessness
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.
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.
Most upper lobe pneumonia’s are not TB, however, this lady was from South Africa – making this diagnosis more likely.