Bacterial pneumonia chest x ray: Difference between revisions
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{{Bacterial pneumonia}} | {{Bacterial pneumonia}} | ||
'''Editor-In-Chief:''' [[User:C Michael Gibson|C. Michael Gibson, M.S., M.D.]] [Mailto:charlesmichaelgibson@gmail.com| <nowiki>[1]</nowiki>]; '''Associate Editor(s)-in-Chief:''' Arooj Naz<br /> | '''Editor-In-Chief:''' [[User:C Michael Gibson|C. Michael Gibson, M.S., M.D.]] [Mailto:charlesmichaelgibson@gmail.com| <nowiki>[1]</nowiki>]; '''Associate Editor(s)-in-Chief:''' [[User:AroojNaz|Arooj Naz, M.B.B.S]]<br /> | ||
==Overview== | ==Overview== | ||
Imaging with chest x-rays remains the gold standard of diagnosis when supported with other | Imaging with [[Chest X-ray|chest x-rays]] remains as the [[Gold standard (test)|gold standard]] of [[diagnosis]] when supported with other [[laboratory findings]]. Although x-rays provide reliable findings, it is recommended that the entire clinical picture along with supporting [[laboratory findings]] be taken into consideration before [[treatment]] is started. Patterns commonly found on imaging include [[Lobar pneumonia|lobar]] or focal nonsegmental pneumonia, lobular or multifocal [[bronchopneumonia]], and diffuse or interstitial ([[Atypical pneumonia|atypical) pneumonia]]. [[Radiological|Radiological findings]] may take 6-12 weeks to clear. | ||
==Chest X-Ray== | ==Chest X-Ray== | ||
{| class="wikitable" | {| class="wikitable" | ||
|+ | |+ | ||
!Type of Pneumonia | !'''Type of Pneumonia<ref name="pmid300206932">{{cite journal| author=| title=StatPearls | journal= | year= 2021 | volume= | issue= | pages= | pmid=30020693 | doi= | pmc= | url= }}</ref>''' | ||
! | !'''Common Organisms<ref name="pmid30020693">{{cite journal| author=| title=StatPearls | journal= | year= 2021 | volume= | issue= | pages= | pmid=30020693 | doi= | pmc= | url= }}</ref>''' | ||
!Chest X-Ray | !'''Chest X-Ray''' | ||
!'''Typical Findings<ref name="pmid300206933">{{cite journal| author=| title=StatPearls | journal= | year= 2021 | volume= | issue= | pages= | pmid=30020693 | doi= | pmc= | url= }}</ref>''' | |||
|- | |- | ||
|Lobar/ Focal non-segmental | |[[Lobar pneumonia|Lobar]]/ Focal non-segmental | ||
| | |[[Klebsiella pneumoniae|''Klebsiella pneumoniae'']] | ||
[[Legionella pneumophila|''Legionella pneumophila'']] | |||
[[Haemophilus influenzae|''Haemophilus influenzae'']] | |||
|[[Image:Middle lobe pneumonia.jpg|centre|372x372px|[https://radiopaedia.org/cases/middle-lobe-pneumonia Middle lobe pneumonia (Frontal)] - Case courtesy of Dr Roberto Schubert|alt=|thumb]][[Image:Middle-lobe-pneumonia-lateral.jpg|474x474px|[https://radiopaedia.org/cases/middle-lobe-pneumonia Middle lobe pneumonia (Lateral)] - Case courtesy of Dr Roberto Schubert|alt=|center|thumb]][[Image:Pneumococcal-pneumonia (right upper lobe).jpg|300x300px|[https://radiopaedia.org/cases/pneumococcal-pneumonia?lang=us Pneumococcal-pneumonia Right upper lobe] - Case courtesy of Dr Jeremy Jones|alt=|center|thumb]] | |||
| | | | ||
*Homogeneous (size may vary) opacification in a [[Lobar pneumonia|lobar]] pattern | |||
*May be sharply defined at the [[fissures]] | |||
*Appearance of air [[bronchograms]] | |||
|- | |- | ||
|Lobular/ Multifocal Bronchopneumonia | |Lobular/ Multifocal [[Bronchopneumonia]] | ||
| | |[[Staphylococcus aureus|''Staphylococcus aureus'']] | ||
[[Klebsiella pneumoniae|''Klebsiella pneumoniae'']] | |||
[[Haemophilus influenzae|''Haemophilus influenzae'']] | |||
[[Pseudomonas aeruginosa|''Pseudomonas aeruginosa'']] | |||
[[Escherichia coli|''Escherichia coli'']] | |||
|[[Image:Bronchopneumonia (frontal).png|300x300px|[https://radiopaedia.org/cases/bronchopneumonia?lang=us Bronchopneumonia (Frontal)] - Case courtesy of Dr Henry Knipe|alt=|center|thumb]][[Image:Bronchopneumonia (lateral).png|380x380px|[https://radiopaedia.org/cases/bronchopneumonia?lang=us Bronchopneumonia] (Lateral) - Case courtesy of Dr Henry Knipe|alt=|center|thumb]] | |||
| | | | ||
*Multiple small [[nodular opacities]] | |||
*Patchy and confluent | |||
*Patches of inflammation separated by normal [[lung parenchyma]] | |||
|- | |- | ||
|Diffuse/ Interstitial | |Diffuse/ Interstitial ([[Atypical pneumonia|Atypical]]) | ||
| | |''[[Mycoplasma]]'' | ||
[[Chlamydophila pneumoniae|''Chlamydophila pneumoniae'']] | |||
[[Chlamydophila psittaci|''Chlamydophila psittaci'']] | |||
''[[Legionella]]'' | |||
|[[Image:Legionella-pneumophilia.png|318x318px|[https://radiopaedia.org/cases/right-hemithorax-air-space-shadowing?lang=us Legionella Pneumophilia] - Case courtesy of Dr Jeremy Jones|alt=|center|thumb]][[Image:Chlamydia-pneumonia.png|309x309px|[https://radiopaedia.org/cases/chlamydia-pneumonia?lang=us Chlamydia Pneumoniae] - Case courtesy of Dr Andrew Dixon|alt=|center|thumb]][[Image: Atypical-pneumonia-mycoplasma.jpg |300x300px|[https://radiopaedia.org/cases/atypical-pneumonia-mycoplasma?lang=us Mycoplasma] - Case courtesy of Dr Alborz Jahangiri|alt=|center|thumb]] | |||
| | | | ||
*Inflammation is limited to the [[pulmonary interstitium]] | |||
*Patchy reticular or [[reticulonodular]] opacities | |||
*Patches are more pronounced in the hilar regions | |||
*Segmental [[atelectasis]] from small airway obstruction may occur | |||
*Radiological findings are often more pronounced than the patients appearance | |||
|} | |} | ||
==References== | ==References== | ||
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[[Category:Up to Date]] | |||
Latest revision as of 01:01, 7 August 2022
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Bacterial pneumonia Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Bacterial pneumonia chest x ray On the Web |
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American Roentgen Ray Society Images of Bacterial pneumonia chest x ray |
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Risk calculators and risk factors for Bacterial pneumonia chest x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S
Overview
Imaging with chest x-rays remains as the gold standard of diagnosis when supported with other laboratory findings. Although x-rays provide reliable findings, it is recommended that the entire clinical picture along with supporting laboratory findings be taken into consideration before treatment is started. Patterns commonly found on imaging include lobar or focal nonsegmental pneumonia, lobular or multifocal bronchopneumonia, and diffuse or interstitial (atypical) pneumonia. Radiological findings may take 6-12 weeks to clear.
Chest X-Ray
| Type of Pneumonia[1] | Common Organisms[2] | Chest X-Ray | Typical Findings[3] |
|---|---|---|---|
| Lobar/ Focal non-segmental | Klebsiella pneumoniae |   .jpg) |
|
| Lobular/ Multifocal Bronchopneumonia | Staphylococcus aureus | .png) .png) |
|
| Diffuse/ Interstitial (Atypical) | Mycoplasma |    |
|