Right middle lobe pneumonia

Case contributed by Dr Ian Bickle

Presentation

Cough and shortness of breath. Mild fever. Infection?

Patient Data

Age: 40
Gender: Female
X-ray

Consolidation in the right mid/lower zone with effacement of the right heart border.

The right hemidiaphragm silhouette is clearly outlined.

Left lung clear.

Case Discussion

A good example of the silhouette sign in this case identifying a right middle lobe pneumonia.

The right heart border is effaced indicative of consolidation in the medial segment of the right middle lobe.

A follow up film in 6 weeks after antibiotics is wise in this group of patients to ensure resolution.

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Case information

rID: 55316
Case created: 29th Aug 2017
Last edited: 30th Aug 2017
System: Chest
Inclusion in quiz mode: Included

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