CXR Case 115

A 79 year old man is sent in by his GP following a 48 hour history of cough with right sided pleuritic chest pain.

CXR CASE 115 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is airspace shadowing and air bronchograms in the right upper lobe. The pleura look clear, heart size normal.


CLINICAL CORRELATION

This is community acquired pneumonia.
Despite the radiological appearances the decision to admit should be made on clinical grounds.


CLINICAL PEARLS

Repeat imaging at 8-12 weeks of all cases of pneumonia is required to ensure resolution of the consolidation and that there are no underlying lesions obscured by the 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 |

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