Right lower lobe pneumonia

Case contributed by RMH Core Conditions

Presentation

Likely AML. Febrile ?focus of infection.

Patient Data

Age: 60
Gender: Male

Chest

Modality: X-ray

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

Chest

Modality: CT

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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