Presentation
Cough and fever.
Patient Data
PA film demonstrates opacification within the left mid to upper zones which partially obscures the left heart border consistent with left upper lobe consolidation, particularly involving the lingular segments. There is hazy opacity in the right lower zone medially and the right heart border is not visualized. This could be misinterpreted as an additional right middle lobe consolidation, however this is in fact due to a pectus excavatum deformity, which is suggested by the orientation of the ribs and is confirmed on the lateral film.
Two weeks later
Follow-up imaging two weeks later shows resolution of the left upper lobe pneumonia, but persistence of the hazy opacity in the right lower zone medially which is related to pectus excavatum deformity.
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