Presentation
Smoker with chest pain, fever and cough. Clinicans are worried about CXR ? cancer
Patient Data
Age: 55
Gender: Male
From the case:
Lobar pneumonia - CT findings
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AP scout lung window

Solid appearing left upper lobe without collapse including the lingula with patent bronchi (air bronchograms). Reactive mediastinal lymph nodes. Lung is so dense it has the appearnce of liver - so-called "hepatisation"
Case Discussion
Community acquired lobar pneumonia is usually due to Streptococcus pneumoniae (pneumococcus) or Haemophilus influenzae