Presentation
Presented to emergency with shortness of breath and cough.
Patient Data
Confluent alveolar opacification at the inferolateral area of the right upper lobe, in keeping with pneumonic consolidation. Associated right pleural thickening superiorly may represent a pleural effusion or soft tissue thickening. The left lung is well aerated. Biapical pleural thickening and calcification. Subphrenic recesses are within normal limits. General skeletal degeneration is present.
The lateral chest radiograph demonstrates consolidation confined to the right upper lobe.
Case Discussion
Community-acquired pneumonia is most commonly caused by Streptococcus pneumoniae and can present with a constellation of symptoms such as shortness of breath, cough, pleuritic chest pain, fevers and lethargy. Pneumonia can be classified based on the appearance on plain chest radiography into lobar, multilobar, cavitating, atypical, hemorrhagic or round pneumonia. This can aid in determining the causative organism in conjunction with other microbiological testing.
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