A 22 year old known IV drug user is found collapsed and admitted hypotensive with altered consciousness.
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is left upper lobe consolidation with air bronchograms indicating pneumonia.
Linear shadows on the right lower lobe suggest atelectasis.
ETT and NGT in situ. The right subclavian line is incorrectly positioned.
This pneumonia should be treated as an aspiration (as he is found collapsed and the history of drug use indicates this may have been for a prolonged time).
Tricuspid valve endocarditis should be considered although you would expect multiple pulmonary septic emboli rather than a focal lobar infection.