An 19 year old university student presents with pleuritic right sided chest pain, fever and GI upset.
click images to enlarge
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is airspace shadowing in the right base with loss of the lateral hemidiaphragm.
Otherwise lung fields and pleura are clear.
Lateral X-Ray confirms right lower lobe, lateral basal segment, consolidation.
This is pneumonia.
Given his age and GI symptoms (so called) ‘atypical‘ pathogens such as mycoplasma should be considered.
Mycoplasma pneumonia can occur in epidemics within the community.
Rarely, mycoplasma pneumoniae infection is associated with haemolytic anaemia, renal dysfunction, erythema mulitforme, Stevens-Johnson syndrome and toxic epidermal necrolysis