CXR Case 091

A 59 year old man presents with cough, haemoptysis, dyspnoea and fever for 3 days

CXR CASE 091 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is airspace shadowing with air bronchograms in the left upper lobe. The right lung and pleural spaces are clear.


CLINICAL CORRELATION

This is lobar pneumonia.
Most likely caused by Streptococcus pneumoniae.
The loss of the left heart border indicates that the LUL is affected.


CLINICAL PEARLS

Streptococcal pneumonia classically causes a ‘rusty brown‘ sputum which is commonly mistaken as haemoptysis.


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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