Pneumonia chest x ray
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Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]
Overview
An important test for making a diagnosis of pneumonia is a chest x-ray. Chest x-rays can reveal areas of opacity (seen as white) which represent consolidation. Pneumonia is not always seen on x-rays, either because the disease is only in its initial stages, or because it involves a part of the lung not easily seen by x-ray.
Chest X-Ray
- X-rays of the chest reveal areas of opacity. A normal chest x-ray makes CAP less likely; however, CAP is sometimes not seen on x-rays because the disease is either in its initial stages or involves a part of the lung not easily seen by x-ray.
- X-rays can be misleading, because other problems, like lung scarring and congestive heart failure, can mimic pneumonia on x-ray.[1] Chest x-rays are also used to evaluate for complications of pneumonia.
- Chest x-ray findings are usually nonspecific in viral pneumonia.
- Computed tomography is used in situations of diagnostic dilemma.
Chest X-ray Gallery
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Extensive consolidation and air bronchograms with loss of the right hemidiaphragm in keeping with right lower lobe pneumonia.
Image courtesy of Dr Frank Gaillard, Radiopedia. (original file here). Creative Commons BY-SA-NC -
Pneumonic infiltration of the right middle lobe.
Image courtesy of Dr Sajoscha Sorrentino, Radiopedia. (original file here). Creative Commons BY-SA-NC -
X-ray shows homogenous radio-opaque areas in bilateral lung fields. These represent areas ofconsolidation.
Image courtesy of Dr Aditya Shetty, Radiopedia. (original file here). Creative Commons BY-SA-NC
Videos
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References
- ↑ Syrjala H, Broas M, Suramo I, et al. High resolution computed tomography for the diagnosis of community-acquired pneumonia. Clin Infect Dis 1998; 27:358-363 PMID 9709887