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Age: 7

Sex: Female

Indication: Fever, cough

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Case #48


Findings

  • Diffuse opacification throughout the left lower lobe and to a lesser extent in the lingula
  • Moderate-sized left pleural effusion
  • Normal size and configuration of the cardiopericardial silhouette


Diagnosis

  • Pneumonia

Sample Report

Findings consistent with pneumonia in the left lower lobe and lingula with a moderate-sized left pleural effusion. Consider chest ultrasound to assess for evidence of empyema.


Discussion

  • A focal opacity in a patient with respiratory symptoms is concerning for pneumonia
  • Anytime you see a pleural collection in a patient with pneumonia, look closely for loculation or gas, which would raise concern for an empyema. Ultrasound is the next best step if there is concern for empyema



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