Community-acquired pneumonia chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Chetan Lokhande, M.B.B.S [2]

X-Ray findings

  • The most common features on X-ray findings in pneumonia is consolidation.
  • This takes in three steps.
  1. Opacification starts as a ground glass change.
  2. Then the ground glass changes to nodules which contain air spaces.
  3. Finally the air nodules coalesce and result in consolidation.
  • Rarely a consolidation alone will be present. There may be associated changes which might aid in diagnosing the cause.
  1. Pus may be suggestive of an infection.
    1. Tuberculosis: can present with any change
    2. Pneumocystis carinii pneumonia: Peri-hilar opacification
    3. Klebsiella: Bulging fissures with consolidation
    4. Staphylococcal : Cavitation

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