CXR Case 098

A 22 year old known IV drug user is found collapsed and admitted hypotensive with altered consciousness.

CXR CASE 098 CXR LITFL

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.



CLINICAL CORRELATION

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).


CLINICAL PEARLS

Tricuspid valve endocarditis should be considered although you would expect multiple pulmonary septic emboli rather than a focal lobar infection.


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 |

2 Comments

  1. Is there also a L SC CVC that is heading cephalad?

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