Right upper lobe consolidation

Case contributed by Dr Derek Smith

Presentation

Reduced GCS. Reduced saturations despite high flow oxygen. Recent "legal high" drug use.

Patient Data

Age: 40
Gender: Male
Modality: X-ray

Consolidation of the right upper lobe with opacification of the right lower zone. The right heart border is discernible which suggests lower lobe involvement.

The left lung is clear. Normal pleural spaces. Normal cardiomediastinal contours. No displaced rib fractures. No lines or tubes.

Case Discussion

This is a good example of right upper lobe consolidation, with good demarcation of the fissures.

The patient required invasive ventilation but improved with antibiotic therapy.

Bacterial and viral swabs were negative, as were atypical microbiology tests.

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Case Information

rID: 50566
Case created: 11th Jan 2017
Last edited: 24th Jan 2017
System: Chest
Inclusion in quiz mode: Included

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