Lingula segmental pneumonia

Case contributed by Dr Henry Knipe

Presentation

Cough, fever.

Patient Data

Age: 6
Gender: Female
X-ray

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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