X-ray
What is the main finding on chest radiograph?
Diffuse bilateral perihilar consolidation.
What is the differential diagnosis?
In simple terms fluid, pus, blood, cells or apirates. This translate to pulmonary/interstitial oedema, penumonia, pulmonary haemorrhage, lymphoma/inflammatory infiltrates or minimally/preinvasive adenocarcinoma (formally known as BAC) and aspiration. Knowledge of clinical presentation is paramount to assist the clinician to reach a diagnosis.
The ETT is at the carina. NGT tube tip not visualised well. Diffuse bilateral perihilar consolidation with air bronchograms.