Bacterial pneumonia chest x ray: Difference between revisions
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==Overview== | ==Overview== | ||
Imaging with chest x-rays remains the gold standard of diagnosis when supported with other [[Bacterial_pneumonia_laboratory_findings|lab findings]] but it is recommended that, apart from x-ray findings, the entire clinical picture 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. | Imaging with chest x-rays remains the gold standard of diagnosis when supported with other [[Bacterial_pneumonia_laboratory_findings|lab findings]] but it is recommended that, apart from x-ray findings, the entire clinical picture 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. | ||
==Chest X-Ray== | ==Chest X-Ray== | ||
{| class="wikitable" | |||
|+ | |||
!'''Type of Pneumonia''' | |||
!'''Common Organisms''' | |||
!'''Chest X-Ray''' | |||
!'''Typical Findings''' | |||
|- | |||
|Lobar/ Focal non-segmental<ref name="Radiopaedia Lobar">{{cite web|url=https://radiopaedia.org/articles/lobar-pneumonia}}</ref> | |||
|[[Klebsiella pneumoniae|''Klebsiella pneumoniae'']] | |||
[[Legionella pneumophila|''Legionella pneumophila'']] | |||
[[Haemophilus influenzae|''Haemophilus influenzae'']] | |||
|[[Image:Middle lobe pneumonia.jpg|centre|372x372px|Middle lobe pneumonia (Frontal) - Case courtesy of Dr Roberto Schubert, Radiopaedia.org, rID: 16074|alt=|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|300x300px|Pneumococcal-pneumonia Right upper lobe - Case courtesy of Dr Jeremy Jones, Radiopaedia.org, rID: 13553|alt=|center|thumb]] | |||
| | |||
* Homogeneous (size may vary) opacification in a lobar pattern | |||
* May be sharply defined at the fissures | |||
* Appearance of air bronchograms | |||
|- | |||
|Lobular/ Multifocal Bronchopneumonia<ref name="Radiopaedia Bronchopneumonia">{{cite web|url=https://radiopaedia.org/articles/bronchopneumonia?lang=us}}</ref> | |||
|[[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|Bronchopneumonia (Frontal) - Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 49869|alt=|center|thumb]][[Image:Bronchopneumonia (lateral).png|380x380px|Bronchopneumonia (Lateral) - Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 49869|alt=|center|thumb]] | |||
| | |||
* Multiple small nodular opacities | |||
* Patchy and confluent | |||
* Patches of inflammation separated by normal lung parenchyma | |||
|- | |||
|Diffuse/ Interstitial (Atypical)<ref name="Radiopaedia Interstitial">{{cite web|url=https://radiopaedia.org/articles/atypical-pneumonia?lang=us}}</ref> | |||
|''[[Mycoplasma]]'' | |||
[[Chlamydophila pneumoniae|''Chlamydophila pneumoniae'']] | |||
[[Chlamydophila psittaci|''Chlamydophila psittaci'']] | |||
''[[Legionella]]'' | |||
|[[Image:Legionella-pneumophilia.png|318x318px|Legionella Pneumophilia - Case courtesy of Dr Henry Knipe, Radiopaedia.org, rID: 49869|alt=|center|thumb]][[Image:Chlamydia-pneumonia.png|309x309px|Chlamydia Pneumoniae - Case courtesy of Dr Andrew Dixon, Radiopaedia.org, rID: 14567|alt=|center|thumb]][[Image: Atypical-pneumonia-mycoplasma.jpg |300x300px|Mycoplasma - Case courtesy of Dr Alborz Jahangiri, Radiopaedia.org, rID: 45781|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== | ||
[[Template:WH]] [[Template:WS]] | [[Template:WH]] [[Template:WS]] | ||
<references /> | <references /> | ||
Revision as of 10:48, 10 January 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
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. Patterns commonly found on imaging include lobar or focal nonsegmental pneumonia, lobular or multifocal bronchopneumonia, and diffuse or interstitial (atypical) pneumonia.
Chest X-Ray
| Type of Pneumonia | Common Organisms | Chest X-Ray | Typical Findings |
|---|---|---|---|
| Lobar/ Focal non-segmental[1] | Klebsiella pneumoniae |   .jpg) |
|
| Lobular/ Multifocal Bronchopneumonia[2] | Staphylococcus aureus | .png) .png) |
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| Diffuse/ Interstitial (Atypical)[3] | Mycoplasma |    |
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References
- ↑ https://radiopaedia.org/articles/lobar-pneumonia. Missing or empty
|title=(help) - ↑ https://radiopaedia.org/articles/bronchopneumonia?lang=us. Missing or empty
|title=(help) - ↑ https://radiopaedia.org/articles/atypical-pneumonia?lang=us. Missing or empty
|title=(help)