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Multifocal round pneumonia with resolution

Case contributed by Dr Ian Bickle

Presentation

Asthmatic. Shortness of breath and wheeze.

Patient Data

Age: 40 years
Gender: Female

Round opacities in the left upper and right mid zones.

Heart size normal.

Two large round areas of consolidation in the apical segment of the left lower lobe and posterior segment of the right upper lobe abutting the horizontal fissure. Air bronchograms are evident within the opacities.

No mediastinal lymphadenopathy.

 

X-ray

10 weeks post antibiotic treatment

The lungs are clear.

Heart size normal. Normal mediastinal contours.

Case Discussion

Bilateral lung opacities in the lungs are not always metastases. The clinical and demographic details of the patient are important considerations.

Round pneumonia in adults is not terribly common, least of all bilateral.

Undertaking a CT was a little keen in this case. A follow up chest x-ray and patience is often all that is required.

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Case information

rID: 77355
Published: 21st May 2020
Last edited: 23rd May 2020
System: Chest
Inclusion in quiz mode: Included

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