Presentation
Productive cough and fevers for one week.
Patient Data
There is airspace consolidation in the peripheral right upper lobe with associated air-bronchograms.
There is an area of air space consolidation in the posterior segment of the right upper lobe measuring 45 x 47 x 44 mm. The lesion is pleural based laterally and shows some air-bronchograms. There is a central poorly defined area of hypo density suggestive of necrosis. A poorly defined halo of ground glass density around the consolidation is seen.
The chest radiograph shows further resolution of the right upper lobe consolidation after 4 weeks with a minor area of sub segmental atelectasis noted.
Case Discussion
There is an area of right upper lobe air space consolidation. This is thought be caused by infection / pneumonia. A repeat x-ray in 4 weeks is recommended to confirm resolution of consolidation. If the consolidation persists after antibiotic therapy, then other differentials such as inflammatory non-infectious and neoplastic aetiologies are included in the differentials.
Repeat chest x-ray in 4 weeks showed resolution of the right upper lobe consolidation with oral antibiotics.
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