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Round pneumonia

Case contributed by Dr M Osama Yonso


Fever, shortness of breath, sweats, cough, and left chest pain.

Patient Data:

Age: 53 years
Gender: Female
Race: Middle eastern
Modality: X-ray

Rounded opacification adjacent to the left hilum. Air bronchograms traverse the lesion. Features are typical of a round pneumonia.

Modality: X-ray

Follow-up x-ray after 6 days demonstrating rapid improvement .

Case Discussion:

These features are consistent with round pneumonia

Round pneumonia is a type of pneumonia usually only seen in pediatric patients. They are well defined, rounded opacities that represent regions of infected consolidation, it often indicates streptococcal pneumonia.

Round pneumonias are  well-circumscribed parenchymal opacities, they tend to have irregular margins. They most commonly occur in superior segments of lower lobes and in the majority of cases (98%), they are solitary. Air bronchograms are often present.

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