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Imaging with chest x-rays remains the gold standard of diagnosis when supported with other lab findings but it is recommended that, apart from x-ray findings, the entire clinical picture be taken into consideration before treatment is started.<ref name="pmid30115336">{{cite journal| author=Grief SN, Loza JK| title=Guidelines for the Evaluation and Treatment of Pneumonia. | journal=Prim Care | year= 2018 | volume= 45 | issue= 3 | pages= 485-503 | pmid=30115336 | doi=10.1016/j.pop.2018.04.001 | pmc=7112285 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30115336  }}</ref> Patterns commonly found on imaging include lobar or focal nonsegmental pneumonia,  lobular or multifocal bronchopneumonia pneumonia, and diffuse or interstitial pneumonia.<ref name="pmid30036297">{{cite journal| author=Franquet T| title=Imaging of Community-acquired Pneumonia. | journal=J Thorac Imaging | year= 2018 | volume= 33 | issue= 5 | pages= 282-294 | pmid=30036297 | doi=10.1097/RTI.0000000000000347 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30036297  }}</ref>
Imaging with chest x-rays remains the gold standard of diagnosis when supported with other lab findings but it is recommended that, apart from x-ray findings, the entire clinical picture be taken into consideration before treatment is started.<ref name="pmid30115336">{{cite journal| author=Grief SN, Loza JK| title=Guidelines for the Evaluation and Treatment of Pneumonia. | journal=Prim Care | year= 2018 | volume= 45 | issue= 3 | pages= 485-503 | pmid=30115336 | doi=10.1016/j.pop.2018.04.001 | pmc=7112285 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30115336  }}</ref> Patterns commonly found on imaging include lobar or focal nonsegmental pneumonia,  lobular or multifocal bronchopneumonia pneumonia, and diffuse or interstitial pneumonia.<ref name="pmid30036297">{{cite journal| author=Franquet T| title=Imaging of Community-acquired Pneumonia. | journal=J Thorac Imaging | year= 2018 | volume= 33 | issue= 5 | pages= 282-294 | pmid=30036297 | doi=10.1097/RTI.0000000000000347 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30036297  }}</ref>
==Chest X-Ray==
{| class="wikitable"
|+
!Type of Pneumonia
!Typical Organism
!Chest X-Ray
|-
|Lobar/ Focal non-segmental<ref name="Radiopaedia2">{{cite web|url=https://radiopaedia.org/articles/lobar-pneumonia}}</ref>
|
*''Klebsiella pneumoniae''
*''Legionella pneumophila''
*''Haemophilus influenzae''
|[[Image:Middle lobe pneumonia.jpg|372x372px|Middle lobe pneumonia (Frontal) - Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 16074|alt=|border|left|thumb]][[Image:Middle-lobe-pneumonia-lateral.jpg|474x474px|Middle lobe pneumonia (Lateral) - Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 16074|alt=|center|thumb]][[Image:Pneumococcal-pneumonia (right upper lobe).jpg|frame|thumb|right|500px|Pneumococcal-pneumonia Right upper lobe - Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 13553]]
|-
|Lobular/ Multifocal Bronchopneumonia
|
|
|-
|Diffuse/ Interstitial
|
|
|}
{| class="wikitable"
|+
!Type of Pneumonia
!Typical Organism
!Chest X-Ray
|-
|Lobar/ Focal non-segmental<ref name="Radiopaedia">{{cite web|url=https://radiopaedia.org/articles/lobar-pneumonia}} </ref>
|
*''Klebsiella pneumoniae''
*''Legionella pneumophila''
*''Haemophilus influenzae''
|[[Image:Middle lobe pneumonia.jpg|372x372px|Middle lobe pneumonia (Frontal) - Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 16074|alt=|border|left|thumb]][[Image:Middle-lobe-pneumonia-lateral.jpg|474x474px|Middle lobe pneumonia (Lateral) - Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 16074|alt=|center|thumb]][[Image:Pneumococcal-pneumonia (right upper lobe).jpg|frame|thumb|left|500px|Pneumococcal-pneumonia Right upper lobe - Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 13553]]
|-
|Lobular/ Multifocal Bronchopneumonia
|
|
|-
|Diffuse/ Interstitial
|
|
|}
==References==
{{Reflist|2}}
[[Category:Needs content]]
[[Category:Disease]]
[[Category:Pulmonology]]
[[Category:Bacterial diseases]]
[[Category:Pneumonia|Pneumonia]]
[[Category:Emergency medicine]]
{{WH}}
{{WS}}

Revision as of 09:07, 10 January 2022

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz

Overview

Imaging with chest x-rays remains the gold standard of diagnosis when supported with other lab findings but it is recommended that, apart from x-ray findings, the entire clinical picture be taken into consideration before treatment is started.[1] Patterns commonly found on imaging include lobar or focal nonsegmental pneumonia, lobular or multifocal bronchopneumonia pneumonia, and diffuse or interstitial pneumonia.[2]

  1. Grief SN, Loza JK (2018). "Guidelines for the Evaluation and Treatment of Pneumonia". Prim Care. 45 (3): 485–503. doi:10.1016/j.pop.2018.04.001. PMC 7112285 Check |pmc= value (help). PMID 30115336.
  2. Franquet T (2018). "Imaging of Community-acquired Pneumonia". J Thorac Imaging. 33 (5): 282–294. doi:10.1097/RTI.0000000000000347. PMID 30036297.