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