Right lower lobe pneumonia

Case contributed by RMH Core Conditions

Presentation

Likely AML. Febrile ?focus of infection.

Patient Data

Age: 60
Gender: Male
X-ray

Chest

Very subtle increased opacity, perhaps with air bronchograms, in the right lung base, posteriorly. This finding was not picked up prospectively (see subsequent CT). 

CT

Chest

Airspace consolidation is seen within the posterior and lateral segments of the right lower lobe. This is associated with a small pleural effusion. The right upper and middle lobes, and the entire left lung, are clear.

There is minor mediastinal lymphadenopathy, which in this setting may be reactive. A hypodense hepatic segment 2 lesion is fluid density, keeping with a simple cyst. The remaining imaged upper abdominal viscera are normal for a non-contrast study.

Conclusion: Right lower lobe pneumonia.

Case Discussion

This case is an example of subtle finding on x-ray that are clearly present on CT, which was performed later the same day. 

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Case information

rID: 28316
Case created: 20th Mar 2014
Last edited: 9th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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