Pneumonia Case 004

A patient presents with fever, cough and purulent sputum. What do you see?

Reveal Answer

There is a well defined patch of consolidation against the posterior chest wall. It is localised and examination elsewhere only reveals normal lung.

Where consolidation abuts an interlobar fissure the consolidation / air interface is linear. Otherwise it tends to be irregular and the echogenic interface has a shredded appearance.

This is the patient’s CXR

Case provided by Leanne Hartnett.

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An Emergency physician based in Perth, Western Australia. Professionally my passion lies in integrating advanced diagnostic and procedural ultrasound into clinical assessment and management of the undifferentiated patient. Sharing hard fought knowledge with innovative educational techniques to ensure knowledge translation and dissemination is my goal. Family, wild coastlines, native forests, and tinkering in the shed fills the rest of my contented time. | SonoCPDUltrasound library | Top 100 | @thesonocave |

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