CXR Case 080

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.


CLINICAL CORRELATION

This is pneumonia.
Given his age and GI symptoms (so called) ‘atypical‘ pathogens such as mycoplasma should be considered.


CLINICAL PEARLS

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


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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