Presentation
Fever and cough.
Patient Data
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Dense consolidation in the right upper lobe, with air bronchograms evident. The consolidation abruptly stops at the horizontal fissure.
Heart size normal. Left lung clear.
Case Discussion
Dense consolidation with a very defined appearance in keeping with the right upper lobe. This is very much lobar pneumonia.
In cases such as this, a follow chest x-ray is essential after antibiotics, to ensure it is not the result of a central mass causing post-obstructive change. This may be revealed on the later film or if unresolved merits further investigation.
The follow up film is typically 6 weeks after antibiotics, with an extra week added for each decade of life after the age of 60 years. For example, in this case, 8 weeks after treatment.