Right upper lobe pneumonia

Case contributed by Dr Jeremy Jones

Presentation

Cough for several weeks, but increased breathlessness and tiredness over 2 days.

Patient Data

Age: 7
Gender: Female
X-ray

Dense consolidation in the right upper lobe. Air bronchograms point to consolidation.

Case Discussion

Dense consolidation in the right upper lobe of this young child is consistent with pneumonia. Depending on local policy, a repeat radiograph is not required providing there is appropriate response to antibiotic therapy and resolution of symptoms when seen at follow up.

There is graduated lucency just above the horizontal fissure - this is air within the superior portion of the right lower lobe.

If there are worsening of symptoms, consider an ultrasound to look for an accompanying effusion.

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Case information

rID: 27457
Published: 15th Dec 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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