Which lobe is primarily affected?
All right sided lobes have some consolidation, but the upper lobe is most affected, with demarcation of the horizontal fissure.
In upper lobe pneumonias, what should be considered?
Thorough history and testing for atypical infections, or "aerobic" species such as Staphylococcus aureus or Klebsiella sp., should be performed.
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.