Case contributed by Matthew Lukies
Diagnosis almost certain


3 day history of cough and generally feeling unwell.

Patient Data

Age: 60 years
Gender: Male

Multiple small bilateral areas of patchy confluent opacification, lower zone predominant.

Findings are consistent with bilateral bronchopneumonia. The patient was admitted and treated with IV antibiotics and respiratory support.


X-ray performed after 4 days of IV antibiotics demonstrates near resolution of the multiple small bilateral areas of patchy confluent opacification.

Case Discussion

This case demonstrates the typical x-ray features of bronchopneumonia (lobular pneumonia), infection involving the secondary pulmonary lobules.

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