Left lower lobar pneumonia presenting as flank pain
Patient presenting with left flank pain, fever, elevated CRP and white cell count, ? intra-abdominal sepsis
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Lobar consolidation in left lower lobe. In the context of sepsis these findings are consistent with pneumonia (completely unexpected by the clinicians)
Lower lobar pneumonia can present as abdominal or flank pain and fever to the clinicians thus misinterpreted as cholecystitis or pyleonephritis. Always include a basal lung assessment using lung windows on all abdominal CT cases.