Pneumonia

Case contributed by Brijesh Bhesaniya
Diagnosis certain

Presentation

2-day history of pleuritic chest pain, cough and fever with a background of COPD.

Patient Data

Age: 65 Years
Gender: Female
x-ray

Situs inversus totalis. There is a large rounded mass in the left mid-lower zone.

Six-week follow-up

x-ray

Complete resolution of the left mid-lower zone mass.

Case Discussion

This is a case of situs inversus totalis and rounded pneumonia. Subsequently the patient was diagnosed with pneumococcal pneumonia (positive pneumococcal urinary antigens). A follow-up chest X-ray 6 weeks later showed radiological resolution of the mass-like consolidation.

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