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Round pneumonia with follow up.

Case contributed by Dr M Osama Yonso

Presentation:

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

Patient Data:

Age: 53y
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

Round Pneumonia   with follow-up x-ray after 6 days  demonstrating rapid improvement .

Case Discussion:

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 .The air bronchograms are often present, and confirm the diagnosis.

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