Mimics of pulmonary infiltrates

Case contributed by Dr Saleh Saleh

Presentation

Ongoing pneumonia treatment. Infection parameter has fallen down. Troublesome mucus in upper airways. Increasing respiratory difficulty and decreasing air saturation.

Patient Data

Age: Adult
Gender: Male
X-ray

Basal left-sided pulmonary infiltrates.

A chest CT scan was performed a few hours after the x-ray, there are no infiltrates and no pleural effusion. However, there are multiple areas of air-trapping, predominantly in the apical regions.

Case Discussion

The patient's x-ray was performed in a supine position, which leads to an exaggerated projection of basal structures including blood vessels mimicking pulmonary infiltrates.

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Case information

rID: 14462
Published: 27th Jul 2011
Last edited: 2nd Jan 2020
System: Chest
Inclusion in quiz mode: Excluded

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