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Right Middle Lobe Pneumonia

Neiner JRN - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Right Middle Lobe Pneumonia

History: 6 y/o otherwise healthy male treated for cough with azithromycin five days prior to current presentation. Pt has returned to clinic because cough has not remitted. Does not complain of ear pain, nausea, vomiting, diarrhea, wheezing, or SOB, and pt has been afebrile since cough started two weeks prior to current presentation.

Findings: There is minimal obscuration of the right costophrenic angle which could represent atelectasis or a small pleural effusion. There is also an opacification in the right middle lung lobe that sillhouettes the right heart border.

Ddx: Asthma (cough variant) Foreign Body Aspiration Pneumonia Post viral cough GERD Bordetella Pertussis

Dxhow: Chest Radiograph

Exam: Vitals: T 97.9, P 64, BP 110/44, RR 28, Wt 25.9 kg, Ht 124 cm Gen: Active 6 y/o male in NAD H/N: EOMI, TM clear b/l, supple neck, no lymphadenopathy CV: RRR no m/g/r. Lungs: Diffuse rales at RML and RLL, however, no accessory muscles of respiration used.

No MeSH data available.


Minimal obscuration of the right costophrenic angle.
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MPX1647_synpic28356: Minimal obscuration of the right costophrenic angle.


Right Middle Lobe Pneumonia

Neiner JRN - MedPix (2006)

Minimal obscuration of the right costophrenic angle.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1647&req=5

MPX1647_synpic28356: Minimal obscuration of the right costophrenic angle.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Right Middle Lobe Pneumonia

History: 6 y/o otherwise healthy male treated for cough with azithromycin five days prior to current presentation. Pt has returned to clinic because cough has not remitted. Does not complain of ear pain, nausea, vomiting, diarrhea, wheezing, or SOB, and pt has been afebrile since cough started two weeks prior to current presentation.

Findings: There is minimal obscuration of the right costophrenic angle which could represent atelectasis or a small pleural effusion. There is also an opacification in the right middle lung lobe that sillhouettes the right heart border.

Ddx: Asthma (cough variant) Foreign Body Aspiration Pneumonia Post viral cough GERD Bordetella Pertussis

Dxhow: Chest Radiograph

Exam: Vitals: T 97.9, P 64, BP 110/44, RR 28, Wt 25.9 kg, Ht 124 cm Gen: Active 6 y/o male in NAD H/N: EOMI, TM clear b/l, supple neck, no lymphadenopathy CV: RRR no m/g/r. Lungs: Diffuse rales at RML and RLL, however, no accessory muscles of respiration used.

No MeSH data available.