Limits...
Right upper lobe pneumonia.

Dimmer BD - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Right upper lobe pneumonia.

History: This is a 77 year old female with past medical history significant only for diagnosis of a gastrointestinal stromal cell tumor one year ago treated with Gleevec (imatinib) presents to the emergency department with a one day history of fatigue, dry cough, chills and nausea with vomiting. She denied shortness of breath but does report some chest pain with deep inspiration.

Findings: A right upper lobe airspace opacity with a consolidation pattern is present with sharp demarcation along the right minor fissure inferiorly, with extension into the hilum. There is bilateral blurring of the costophrenic recesses consistent with an effusion. There is tracheal deviation consistent with previously known thyroid enlargement of unknown etiology. The aorta is calcified and tortuous.

Ddx: The differential for a consolidative pattern on chest X-ray with this patient’s history includes: A: an exudate caused by pneumonia (typical vs. atypical) or pneumonitis B: A transudate caused by pulmonary congestion C: Malignancy related, which may be primary or metastatic.

Dxhow: Clinical

Exam: The patient was noted to be alert and oriented in no acute distress. Vital signs were heart rate 83, respiratory rate 14, and temperature 102.3. Pertinent exam findings were bibasilar rales on lung exam with right greater than left and a 2/6 systolic ejection murmur.

No MeSH data available.


This is a 77 year old female with right upper lobe pneumonia. This portable film was taken sveral hours after admission. A right upper lobe airspace opacity with a consolidation pattern is present with sharp demarcation along the right minor fissure inferiorly, with extension into the hilum.  There is bilateral blurring of the costophrenic recesses consistent with an effusion. There is tracheal deviation consistent with previously known thyroid enlargement of unknown etiology. The aorta is calcified and tortuous.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX2313&req=5

MPX2313_synpic27141: This is a 77 year old female with right upper lobe pneumonia. This portable film was taken sveral hours after admission. A right upper lobe airspace opacity with a consolidation pattern is present with sharp demarcation along the right minor fissure inferiorly, with extension into the hilum. There is bilateral blurring of the costophrenic recesses consistent with an effusion. There is tracheal deviation consistent with previously known thyroid enlargement of unknown etiology. The aorta is calcified and tortuous.


Right upper lobe pneumonia.

Dimmer BD - MedPix (2005)

This is a 77 year old female with right upper lobe pneumonia. This portable film was taken sveral hours after admission. A right upper lobe airspace opacity with a consolidation pattern is present with sharp demarcation along the right minor fissure inferiorly, with extension into the hilum.  There is bilateral blurring of the costophrenic recesses consistent with an effusion. There is tracheal deviation consistent with previously known thyroid enlargement of unknown etiology. The aorta is calcified and tortuous.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2313&req=5

MPX2313_synpic27141: This is a 77 year old female with right upper lobe pneumonia. This portable film was taken sveral hours after admission. A right upper lobe airspace opacity with a consolidation pattern is present with sharp demarcation along the right minor fissure inferiorly, with extension into the hilum. There is bilateral blurring of the costophrenic recesses consistent with an effusion. There is tracheal deviation consistent with previously known thyroid enlargement of unknown etiology. The aorta is calcified and tortuous.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Right upper lobe pneumonia.

History: This is a 77 year old female with past medical history significant only for diagnosis of a gastrointestinal stromal cell tumor one year ago treated with Gleevec (imatinib) presents to the emergency department with a one day history of fatigue, dry cough, chills and nausea with vomiting. She denied shortness of breath but does report some chest pain with deep inspiration.

Findings: A right upper lobe airspace opacity with a consolidation pattern is present with sharp demarcation along the right minor fissure inferiorly, with extension into the hilum. There is bilateral blurring of the costophrenic recesses consistent with an effusion. There is tracheal deviation consistent with previously known thyroid enlargement of unknown etiology. The aorta is calcified and tortuous.

Ddx: The differential for a consolidative pattern on chest X-ray with this patient’s history includes: A: an exudate caused by pneumonia (typical vs. atypical) or pneumonitis B: A transudate caused by pulmonary congestion C: Malignancy related, which may be primary or metastatic.

Dxhow: Clinical

Exam: The patient was noted to be alert and oriented in no acute distress. Vital signs were heart rate 83, respiratory rate 14, and temperature 102.3. Pertinent exam findings were bibasilar rales on lung exam with right greater than left and a 2/6 systolic ejection murmur.

No MeSH data available.