Presentation
Cough, fever.
Patient Data
Age: 6
Gender: Female
From the case:
Lingula segmental pneumonia
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Consolidation with air bronchograms obscuring the heart apex.
Case Discussion
Obscuration of the cardiac apex (i.e. silhouette sign) represents pathology in the lingula segment of the left upper lobe. In this setting airspace opacity with air bronchograms in the setting of the clinical presentation means this represents pneumonia.
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